Provider Demographics
NPI:1679757439
Name:MABEE, CARL H (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:H
Last Name:MABEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:CARL
Other - Middle Name:H
Other - Last Name:MABEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:820 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04073-3521
Mailing Address - Country:US
Mailing Address - Phone:207-324-3344
Mailing Address - Fax:
Practice Address - Street 1:820 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:SANFORD
Practice Address - State:ME
Practice Address - Zip Code:04073-3521
Practice Address - Country:US
Practice Address - Phone:207-324-3344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2352122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist