Edgewell

Specialty details in registry · Eagle Lake, ME

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At a glance

51 Dennis St, Eagle Lake, ME 04739-3321

NPPES record updated Dec 18, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

51 Dennis St
Eagle Lake, ME 04739-3321

Professional details: NPI, taxonomy & registry record

NPI1639039068

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 163WG0000X
Enumeration date: Nov 17, 2025
Record updated: Dec 18, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

163WA2000X

Specialty details in registry

163WG0000X · Primary

Specialty details in registry

163WH0200X

Specialty details in registry

163WH1000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

51 Dennis St
Eagle Lake, ME 04739-3321

Phone: (207) 492-9332

Mailing address

51 DENNIS ST

EAGLE LAKE, ME 047393321

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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