Organization · Type 2 NPI
Portland Center for Dentistry LLC
Dental Clinic/Center · Portland, ME
NPI number
1861204513
Active
Practice location
612 Brighton Ave Ste 1
Portland, ME 04102-2359
Mailing address
290 Bridgton Rd Ste 2
Westbrook, ME 04092-3754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1861204513
Portland Center for Dentistry LLC's National Provider Identifier is 1861204513, issued on Jan 21, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, ME. The record was last updated on Jan 21, 2025.