IndividualActive
G Tableman, D.D.S.
NPI 1992712582 · Orthodontics and Dentofacial Orthopedics Dentistry · Bangor, ME
Provider details
- NPI number
- 1992712582
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 2535 (ME)
Specialties & taxonomies
Dental Providers
Practice location
766 Stillwater Ave
Bangor, ME 04401-3616
Phone: (207) 942-1442
Fax: (207) 942-1832
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 920
Bangor, ME 04402-0920
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.