select
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NPI

123

Facility Name

hermelindamccauley

First Name

Hermelinda

Last Name

https://sbhk55.co/2022%e6%96%b0%e5%b9%b4%e6%b4%bb%e5%8b%95-%e8%81%9a%e6%9c%83%e5%bf%85%e7%8e%a9%e6%96%b0%e5%b9%b4%e9%81%8a%e6%88%b2%e3%80%81%e7%b7%9a%e4%b8%8a%e8%b3%ad%e5%8d%9a%e9%81%8a%e6%88%b2%e6%8e%a8%e8%96%a6/

Physical Street Address -- NOTE:  Please return to complete this Survey separately for each physical service location where you provide dental services.

https://sbhk55.co/2022%e6%96%b0%e5%b9%b4%e6%b4%bb%e5%8b%95-%e8%81%9a%e6%9c%83%e5%bf%85%e7%8e%a9%e6%96%b0%e5%b9%b4%e9%81%8a%e6%88%b2%e3%80%81%e7%b7%9a%e4%b8%8a%e8%b3%ad%e5%8d%9a%e9%81%8a%e6%88%b2%e6%8e%a8%e8%96%a6/

Physical City

delhi

Physical State (Please use state abbreviation ex: ME for Maine)

delhi

Physical Zip Code

10,002

Are you currently accepting new MaineCare members?

No

Are you able to accommodate children with special needs?

Yes

Are you able to serve children with mobility issues such as wheelchair ramps and wider doorways?

No

Are you able to provide services to children with complex health needs such as sedation?

Yes

Are you able to provide services to children with intellectual disabilities such as autism?

No

Dental License Number

https://sbhk55.co/2022%e6%96%b0%e5%b9%b4%e6%b4%bb%e5%8b%95-%e8%81%9a%e6%9c%83%e5%bf%85%e7%8e%a9%e6%96%b0%e5%b9%b4%e9%81%8a%e6%88%b2%e3%80%81%e7%b7%9a%e4%b8%8a%e8%b3%ad%e5%8d%9a%e9%81%8a%e6%88%b2%e6%8e%a8%e8%96%a6/
Created at 1/21/2022 12:45 AM by ***
Last modified at 1/21/2022 12:45 AM by ***