Skip Ribbon Commands
Skip to main content

Health PAS-OnLine

select
Accessibility Enable Accessibility
Online Help Help

Manage PermissionsManage Permissions

NPI

 147,147

Facility Name

 https://www.kzntreasury.gov.za/Lists/FRAUD%20RISK%20ASSESSMENT%20QUESTIONNAIRE/DispForm.aspx?ID=34002  https://www.aerocivil.gov.co/atencion/participacion/encuesta/Lists/Rendicin%20de%20Cuentas%202017/DispForm.aspx?ID=31808  https://www2.anm.gov.my/Lists/

First Name

 https://computer.ju.edu.jo/Lists/Alumni%20Feedback%20Survey/DispForm.aspx?ID=40230 https://www.business.unsw.edu.au/forms-site/surveys/Lists/SMY%20Profile%20Information%20January%202016%20Intake/DispForm.aspx?ID=27271 https://gnssn.iaea.org/main/SLS/Lists

Last Name

 https://just.edu.jo/Centers/cic/Lists/feedback/DispForm.aspx?ID=4897 https://management.ju.edu.jo/Lists/Alumni%20Feedback%20Survey/DispForm.aspx?ID=17720 http://ttytcauke.vn/Default.aspx?tabid=120&ch=18093 https://medi-green.nl/?dwqa-question=bwingg

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

 https://www.mindef.gov.bn/survey/Lists/PRU%20Survey/DispForm.aspx?ID=14775 https://moe.edu.kw/Lists/Survey2/DispForm.aspx?ID=5946    https://wiki.chili.asia/hoi-dap/bwing-3/ https://nongnghiepxanhhn.com/question/bwing-3

Physical City

 https://portal.nurse.cmu.ac.th/computer/Lists/Survey/DispForm.aspx?ID=23987 https://myctb.org/wst/kck-yvp2/Lists/Join%20the%20Network/DispForm.aspx?ID=20948 https://www.dof-roskilde.dk/question/bwing-3/  https://jvsakaeo.go.th/question/bwing-3/

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

 http://www.sodis.fr/Lists/enquete2/DispForm.aspx?ID=1808 https://www.aerocivil.gov.co/atencion/participacion/encuesta/Lists/Rendicin%20de%20Cuentas%202017/DispForm.aspx?ID=31830 https://bvtracu.com.vn/Default.aspx?tabid=120&ch=737

Physical Zip Code

 272,752

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

  
Created at 3/22/2023 8:24 AM by ***
Last modified at 3/22/2023 8:24 AM by ***