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NPI

 1,234

Facility Name

 digital

First Name

 digital

Last Name

 marketing

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

 digital

Physical City

 digital

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

 https://cblonline.org/elearning/blog/index.php?entryid=137104 https://cblonline.org/elearning/blog/index.php?entryid=137106 https://platform.blocks.ase.ro/blog/index.php?entryid=28012 https://platform.blocks.ase.ro/blog/index.php?entryid=28013 https://bet

Physical Zip Code

 1,234

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?

  

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?

  

Dental License Number

 https://cblonline.org/elearning/blog/index.php?entryid=137104 https://cblonline.org/elearning/blog/index.php?entryid=137106 https://platform.blocks.ase.ro/blog/index.php?entryid=28012 https://platform.blocks.ase.ro/blog/index.php?entryid=28013 https://bet
Created at 7/26/2023 4:05 AM by ***
Last modified at 7/26/2023 4:05 AM by ***