| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1407398928 | D'SALVA-BOUTON | RUBY | A | 1093 W MAIN ST | DOVER FOXCROFT | ME | 044263717 | |
| 1871734657 | MAKOWSKI | JOEL | BRETT | 1093 W MAIN ST | DOVER FOXCROFT | ME | 044263717 | |
| 1053747030 | PLOURDE | NATALI | ELAINE | 1093 W MAIN ST | DOVER FOXCROFT | ME | 044263717 |