MEDICARE: RONALD G SAWYER DMD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	2563	ME

General Provider Information

NPI Number	:	1427264308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD G SAWYER DMD PA

Provider Business Mailing Address
First Line	:	304 WASHINGTON ST
Second Line	:
City	:	BATH
State	:	ME
Zip	:	04530-1641
Country	:	US
Telephone Number	:	207-442-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 WASHINGTON ST
Second Line	:
City	:	BATH
State	:	ME
Zip	:	04530-1641
Country	:	US
Telephone Number	:	207-442-7581
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD GEORGE SAWYER
Credential	:	DMD
Telephone Number	:	207-442-7581

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	08/22/2020

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