MEDICARE: NEW ENGLAND DENTURE CENTER OF AUBURN

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	122400000X	Denturist	5519	ME

General Provider Information

NPI Number	:	1770915878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ENGLAND DENTURE CENTER OF AUBURN

Provider Business Mailing Address
First Line	:	730 CENTER ST
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6316
Country	:	US
Telephone Number	:	207-777-0088
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 CENTER ST
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6316
Country	:	US
Telephone Number	:	207-777-0088
Fax Number	:

Authorized Official
Title or Position	:	DENTURIST
Name	:	BEATRICE TOKAYER
Credential	:
Telephone Number	:	207-286-9500

Provider Enumeration Date	:	07/31/2013
Last Update Date	:	07/31/2013

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