Skip Ribbon Commands
Skip to main content

Health PAS-OnLine

select
Accessibility Enable Accessibility
Online Help Help

Manage PermissionsManage Permissions

NPI

 123,456

Facility Name

 Reverse Osmosis Water Dispenser Purifier

First Name

 Julia

Last Name

 https://www.olansichina.com/activated-carbon-ro-reverse-osmosis-water-dispenser-purifier-hot-water-purifier-machine.html

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

 na

Physical City

 na

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

 na

Physical Zip Code

 1,001

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?

 Yes

Dental License Number

  
Created at 11/16/2021 11:01 PM by ***
Last modified at 11/16/2021 11:01 PM by ***