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NPI Code Detail

MEDICARE: ASHLEE MADDONALD RDH

MEDICARE:   ASHLEE  MADDONALD  RDH
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
1124Q00000XDental Hygienist3015ME

General Provider Information

NPI Number : 1629488291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEE MADDONALD RDH
Provider Business Mailing Address
First Line : PO BOX 99
Second Line :
City : LINCOLN
State : ME
Zip : 04457-0099
Country : US
Telephone Number : 207-794-6700
Fax Number :
Provider Business Practice Location Address
First Line : 9 MAIN ST
Second Line : SUITE B
City : LINCOLN
State : ME
Zip : 04457-1216
Country : US
Telephone Number : 207-794-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 06/16/2014

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Directions to “ ASHLEE MADDONALD RDH” Practice Location

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