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NPI Code Detail

MEDICARE: JOEL STEVEN DOYON DDS

MEDICARE: JOEL STEVEN DOYON DDS
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
11223G0001XGeneral Practice Dentistry3093ME
2122300000XDentistDEN3093ME

General Provider Information

NPI Number : 1609822634
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL STEVEN DOYON DDS
Provider Business Mailing Address
First Line : 1 COLLEGE ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2617
Country : US
Telephone Number : 207-221-4805
Fax Number :
Provider Business Practice Location Address
First Line : 1 COLLEGE ST
Second Line :
City : PORTLAND
State : ME
Zip : 04103-2617
Country : US
Telephone Number : 207-221-4805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 06/06/2023

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