Provider Demographics
NPI:1023059326
Name:QUITTMEYER, GEORGE E (DMD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:E
Last Name:QUITTMEYER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:BUCKSPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04416-0229
Mailing Address - Country:US
Mailing Address - Phone:207-469-2359
Mailing Address - Fax:207-469-3637
Practice Address - Street 1:74 MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BUCKSPORT
Practice Address - State:ME
Practice Address - Zip Code:04416-4026
Practice Address - Country:US
Practice Address - Phone:207-469-2359
Practice Address - Fax:207-469-3637
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2090122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist