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NPI

1

Facility Name

Carrie LLC

First Name

Carrie

Last Name

Elliot

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

Carrie's LLC

Physical City

http://www.carrievisintainer.com/

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

1

Physical Zip Code

1

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?

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

 
Created at 12/14/2018 10:58 PM by ***
Last modified at 12/14/2018 10:58 PM by ***