Organization · Type 2 NPI
Breakwater Dental, LLC
General Practice Dentistry · South Portland, ME
NPI number
1811575202
Active
Practice location
25 Long Creek Dr Unit D
South Portland, ME 04106-2440
Mailing address
5 Midnight Ln
Gorham, ME 04038-2376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
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 1811575202
Breakwater Dental, LLC's National Provider Identifier is 1811575202, issued on Mar 29, 2021. 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 Mar 29, 2021.