MEDICARE: DR. MICHAEL C. SLOAN D.D.S.

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
1	1223G0001X	General Practice Dentistry	3352	ME

General Provider Information

NPI Number	:	1609807221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL C. SLOAN D.D.S.

Provider Business Mailing Address
First Line	:	P.O. BOX 50
Second Line	:
City	:	LINCOLLNVILLE BEACH
State	:	ME
Zip	:	04849-0050
Country	:	US
Telephone Number	:	207-789-5270
Fax Number	:	207-789-5273

Provider Business Practice Location Address
First Line	:	2561 ATLANTIC HIGHWAY
Second Line	:
City	:	LINCOLLNVILLE BEACH
State	:	ME
Zip	:	04849-0050
Country	:	US
Telephone Number	:	207-789-5270
Fax Number	:	207-789-5273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. MICHAEL C. SLOAN D.D.S.” Practice Location

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