Provider Demographics
NPI:1447268073
Name:ASSOCIATES IN ORTHODONTICS, P.A.
Entity type:Organization
Organization Name:ASSOCIATES IN ORTHODONTICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-942-1442
Mailing Address - Street 1:PO BOX 920
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04402-0920
Mailing Address - Country:US
Mailing Address - Phone:207-942-1442
Mailing Address - Fax:207-942-1832
Practice Address - Street 1:766 STILLWATER AVE
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3616
Practice Address - Country:US
Practice Address - Phone:207-942-1442
Practice Address - Fax:297-942-1832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME812377OtherUNITED CONCORDIA PROV. NO