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NPI

33

Facility Name

davidhicks

First Name

david

Last Name

hicks

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

usa

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

usa

Physical Zip Code

15,207

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

545454545454
Created at 7/30/2021 3:46 AM by ***
Last modified at 7/30/2021 3:46 AM by ***