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Steven L. Ellis, LD
Denturist in Old Orchard Beach, Maine
NPI 1255565065

Steven L. Ellis is a Denturist based in Old Orchard Beach, ME. Steven L. Ellis practices in Old Orchard Beach, ME and has the professional credentials of LD. The NPI Number for Steven L. Ellis is 1255565065 and holds a License No. 5005 (Maine).

The current practice location address for Steven L. Ellis is 155 Saco Ave, Old Orchard Beach, ME and can be reached out via phone at 207-934-5411.

Location: 155 Saco Ave, Old Orchard Beach, ME, 04064-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255565065
Provider Name
Steven L. Ellis
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
155 Saco Ave, Old Orchard Beach, ME, 04064-1600
Phone Number
207-934-5411
Fax Number
Provider Enumeration Date
05/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
431742900 01 ME MAINE CARE
institution
Provider Business Practice Location Address Details
Address
155 Saco Ave
City
Old Orchard Beach
State
Maine
Zip
04064-1600
Phone Number
207-934-5411
Fax Number
person
Provider Business Mailing Address Details
Address
155 Saco Ave
City
Old Orchard Beach
State
Maine
Zip
04064-1600
Phone Number
207-934-5411
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
5005 (Maine)
Definition
Definition to come.
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