Bagley, William Atherton
Bagley, William Atherton is an sole proprietor health care provider with primary practice located at 369 Main St , Lewiston ME 04240-7030. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Bagley, William Atherton can be contacted via phone (207) 782-0044.Contact Information
Primary practice address
369 Main St
Lewiston ME 04240-7030
Phone: (207) 782-0044
Fax: (207) 782-0343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 2324 | Maine |
Profile Details
| NPI number | 1255351664 |
|---|---|
| LBN Legal business name | Bagley, William Atherton |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255351664 | NPPES |
| Maine | MEDICAID | 106290000 |
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