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NPI 1982526117

NPI 1982526117 : LEWISTON AUBURN DENTAL ASSOCIATES : LEWISTON, ME

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General NPI Number Information
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    NPI Number           |    1982526117
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEWISTON AUBURN DENTAL ASSOCIATES 
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Dates
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    Enumeration Date     |    07/28/2026
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    Last Update Date     |    07/28/2026
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Provider Practice Location Address
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    Address Line         |    1065 LISBON ST 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240-5749
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    Country              |    US
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    Telephone            |    207-376-4977
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    Fax                  |    207-376-4979
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Provider Business Mailing Address
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    Address Line         |    1065 LISBON ST 
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    City                 |    LEWISTON
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    State                |    ME
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    Zip                  |    04240-5749
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    Country              |    US
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    Telephone            |    207-376-4977
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    Fax                  |    207-376-4979
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JAMES  D'AMICO 
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    Credential           |    DDS
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    Telephone            |    207-469-8014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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