| Portland Center For Dentistry Llc | |
|
612 Brighton Ave Ste 1 Portland ME 04102-2359 | |
| (207) 560-9057 | |
| Not Available |
| Full Name | Portland Center For Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 612 Brighton Ave Ste 1, Portland, Maine |
| Authorized Official Name and Position | David Lee (COO) |
| Authorized Official Contact | 7322071689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portland Center For Dentistry Llc 290 Bridgton Rd Ste 2 Westbrook ME 04092-3754 Ph: (732) 207-1689 | Portland Center For Dentistry Llc 612 Brighton Ave Ste 1 Portland ME 04102-2359 Ph: (207) 560-9057 |
| NPI Number | 1861204513 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861204513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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