Organization · Type 2 NPI
Southern Maine Pediatric Dentistry
Dental Clinic/Center · South Portland, ME
NPI number
1184814568
Active
Practice location
75 John Roberts Rd, Suit 10B
South Portland, ME 04106-6914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3767 (ME) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in South Portland
About NPI 1184814568
Southern Maine Pediatric Dentistry's National Provider Identifier is 1184814568, issued on Jul 31, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Portland, ME. The record was last updated on Jul 31, 2007.