Dr. Isaac Adesola Adegbola, DDS
Dentist, General Practice in Ellsworth, ME. Individual provider (NPI-1).
NPI number1245043496
StatusActive
Last updated in NPPESJan 30, 2025
Details
- NPI
- 1245043496
- Entity type
- Individual (NPI-1)
- Name
- Dr. Isaac Adesola Adegbola
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Jan 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN5203 | ME | Yes |
Practice location
206 High St Ste DEllsworth, ME 04605-1741
Phone 207-669-4826
Mailing address
549 Brunswick StreetYarmouth, NS B5A 4N3
Canada
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All 14 General Practice Dentistry providers in Ellsworth · All 609 providers in Ellsworth
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