Healthcare Provider Details
I. General information
NPI: 1679792949
Provider Name (Legal Business Name): REMMES ORTHODONTICS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6 WELLSPRING RD
BIDDEFORD ME
04005-9415
US
IV. Provider business mailing address
30 PLYMOUTH DR
SACO ME
04072-1734
US
V. Phone/Fax
- Phone: 207-282-7501
- Fax: 207-282-6047
- Phone: 207-282-1140
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | 3326 |
| License Number State | ME |
VIII. Authorized Official
Name: DR.
PAUL
FRANCIS
REMMES
Title or Position: OWNER
Credential: DMD
Phone: 207-282-7501