Healthcare Provider Details

I. General information

NPI: 1831102334
Provider Name (Legal Business Name): NORMAN WILLIAM LAJOIE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

562 MAINE AVE
FARMINGDALE ME
04344-2916
US

IV. Provider business mailing address

562 MAINE AVE
FARMINGDALE ME
04344-2916
US

V. Phone/Fax

Practice location:
  • Phone: 207-582-4503
  • Fax: 207-582-8730
Mailing address:
  • Phone: 207-582-4503
  • Fax: 207-582-8730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2292
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: