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NPI Code Detail

MEDICARE: MR. ROBERT R. DENTON PT

MEDICARE:  MR. ROBERT R. DENTON  PT
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
1225100000XPhysical TherapistPT 821ME

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2650015984OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1027296OTHERBLUE CROSS
3001377970OTHERUNITED
4131760199OTHERMAINE CARE (BOX 24)
51040915OTHERAETNA (REF)
61042586OTHERAETNA (BILLING)
7131760000OTHERMAINE CARE (BOX 33)
8A-135870OTHERHEALTH EOS
9AA15471OTHERHARVARD PILGRIM
106627796OTHERCIGNA
11A-135870OTHERMULTI PLAN

General Provider Information

NPI Number : 1447254057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT R. DENTON PT
Provider Business Mailing Address
First Line : 1250 FOREST AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-1884
Country : US
Telephone Number : 207-878-2244
Fax Number : 207-878-5548
Provider Business Practice Location Address
First Line : 1250 FOREST AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-1884
Country : US
Telephone Number : 207-878-2244
Fax Number : 207-878-5548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 04/29/2010

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Directions to “ MR. ROBERT R. DENTON PT” Practice Location

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