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NPI

 22

Facility Name

 adrianagarrett

First Name

 adrianagarrett

Last Name

 adrianagarrett

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

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Physical City

 United States

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

 United States

Physical Zip Code

 54,321

Are you currently accepting new MaineCare members?

 Yes

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?

 Yes

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

  

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

 Yes

Dental License Number

  
Created at 9/30/2024 12:47 AM by ***
Last modified at 9/30/2024 12:47 AM by ***