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MAINE PEDIATRIC DENTISTRY LLC
NPI 1073363677
Dentist - Pediatric Dentistry in South Portland, ME

Active since March 26, 2024
85 WESTERN AVE, SOUTH PORTLAND, ME 04106(207) 408-0479 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maine Pediatric Dentistry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINE PEDIATRIC DENTISTRY LLC (NPI 1073363677) is a healthcare organization registered as a pediatric dentistry in South Portland, Maine and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Auburn and lists David Lee, Coo, as its authorized official.

NPPES Registry Identity

NPI1073363677
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAINE PEDIATRIC DENTISTRY LLC
Location Address85 WESTERN AVESouth Portland, ME 04106-2423
Mailing Address290 Bridgton Rd Ste 2Westbrook, ME 04092-3754 · (732) 207-1689
Phone(207) 408-0479
Organization SubpartNo
Authorized OfficialDavid LeeCoo · (732) 207-1689
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1073363677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
85 WESTERN AVE, South Portland, ME 04106
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Secondary Practice Location 1

Location 12 Great Falls PlzAuburn, ME 04212-8103 · Phone (207) 784-4222

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN CURRENT CARE PA
Clinic/Center (Urgent Care)
85 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7751
OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST PA
Clinic/Center (Occupational Medicine)
85 WESTERN AVE, SUITES 6, 7, 8
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7751
MIJUNG KIM
Dentist (General Practice)
85 WESTERN AVE, #3
SOUTH PORTLAND, ME 04106
Cumberland County (207) 408-0479
HUY NGUYEN DMD
Dentist (General Practice)
85 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 408-0479
SHARON SAMSON STONE PT, DPT
Physical Therapist
85 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 774-7751
CHRISTINE HAEYOON KWON DMD
Dentist (General Practice)
85 WESTERN AVE
SOUTH PORTLAND, ME 04106
Cumberland County (207) 408-0479

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maine Pediatric Dentistry LLC's NPI number?

The NPI number for Maine Pediatric Dentistry LLC is 1073363677. It was assigned to this organization in the NPPES registry on March 26, 2024.

Where is Maine Pediatric Dentistry LLC located?

Maine Pediatric Dentistry LLC is located at 85 Western Ave, South Portland, ME 04106. The listed phone number is (207) 408-0479.

What is Maine Pediatric Dentistry LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Maine Pediatric Dentistry LLC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.