Provider Demographics
NPI:1629877253
Name:YARMOUTH DIRECT PRIMARY CARE PLLC
Entity type:Organization
Organization Name:YARMOUTH DIRECT PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAGGETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:207-459-8751
Mailing Address - Street 1:500 US ROUTE 1 STE 107
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6816
Mailing Address - Country:US
Mailing Address - Phone:207-560-0415
Mailing Address - Fax:207-606-7624
Practice Address - Street 1:500 US ROUTE 1 STE 107
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6816
Practice Address - Country:US
Practice Address - Phone:207-560-0415
Practice Address - Fax:207-606-7624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty