Healthcare Provider Details

I. General information

NPI: 1346731098
Provider Name (Legal Business Name): MARIE DARDENO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E CHESTNUT ST
AUGUSTA ME
04330-5758
US

IV. Provider business mailing address

98 CLEARWATER DR
FALMOUTH ME
04105-1398
US

V. Phone/Fax

Practice location:
  • Phone: 207-623-6560
  • Fax: 207-623-6571
Mailing address:
  • Phone: 207-781-7900
  • Fax: 207-781-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberDO3249
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO3249
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: