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NPI

1,003,003,633

Facility Name

WENTWORTH DOUGLASS COMMUNITY DENTAL CENTER-001

First Name

LISA

Last Name

SLAUGHTER

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

668 Central Avenue

Physical City

DOVER

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

NH

Physical Zip Code

3,820

Are you currently accepting new MaineCare members?

Yes

Are you able to accommodate children with special needs?

No

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?

No

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

Yes

Dental License Number

010448039
Created at 7/25/2016 7:09 PM by ***
Last modified at 7/25/2016 7:09 PM by ***