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NPI

 65,646

Facility Name

 ughbentley

First Name

 Ugh

Last Name

 http://188.166.229.135/

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

 ughbentley

Physical City

 ughbentley

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

 ughbentley

Physical Zip Code

 10,001

Are you currently accepting new MaineCare members?

 No

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?

 No

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

 No

Dental License Number

  
Created at 11/10/2021 2:23 AM by ***
Last modified at 11/10/2021 2:23 AM by ***