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NPI

41

Facility Name

Slotdepositonline

First Name

Slotdeposit

Last Name

online

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

New York

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

New York

Physical Zip Code

20,001

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?

Yes

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

Yes

Dental License Number

Slotdepositonline
Created at 11/8/2024 12:50 AM by ***
Last modified at 11/8/2024 12:50 AM by ***