Provider Demographics
NPI:1750629473
Name:NEW ENGLAND DENTURE CENTER OF BIDDEFORD, LLC
Entity Type:Organization
Organization Name:NEW ENGLAND DENTURE CENTER OF BIDDEFORD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTURIST
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:R
Authorized Official - Last Name:TOKAYER
Authorized Official - Suffix:
Authorized Official - Credentials:LD
Authorized Official - Phone:207-286-9500
Mailing Address - Street 1:291 ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-3155
Mailing Address - Country:US
Mailing Address - Phone:207-286-9500
Mailing Address - Fax:
Practice Address - Street 1:291 ALFRED ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3155
Practice Address - Country:US
Practice Address - Phone:207-286-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME5519122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122400000XDental ProvidersDenturistGroup - Single Specialty