Individual provider · Type 1 NPI

Jackson Wotton

General Practice Dentistry · South Portland, ME

NPI number 1467267302 Active

Practice location

171 Maine Mall Rd
South Portland, ME 04106-2310

Call (207) 775-1551 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDEN5385 (ME)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1467267302

Jackson Wotton's National Provider Identifier is 1467267302, issued on Feb 10, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Portland, ME. The record was last updated on Jun 25, 2026.