Organization · Type 2 NPI

260 Main ST Portland Inc

Dental Clinic/Center · Portland, CT

NPI number 1659946085 Active

Practice location

260 Main St
Portland, CT 06480-1859

Mailing address

902 Post Rd
Scarsdale, NY 10583-5544

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

2 other providers at this address

About NPI 1659946085

260 Main ST Portland Inc's National Provider Identifier is 1659946085, issued on May 27, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, CT. The record was last updated on May 27, 2021.