SOUTHERN MAINE PEDIATRIC DENTISTRY
NPI 1184814568
Clinic/Center - Dental in South Portland, ME

Active since July 31, 2007
75 JOHN ROBERTS RD, SUIT 10B, SOUTH PORTLAND, ME 04106(207) 773-3111 Get Directions Write a Review

NPPES record last updated: July 31, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Maine Pediatric Dentistry NPPES

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

SOUTHERN MAINE PEDIATRIC DENTISTRY (NPI 1184814568) is a healthcare organization registered as a dental in South Portland, Maine and active in the NPI registry since July 2007. The organization lists Whitney Ralston Wignall, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1184814568
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHERN MAINE PEDIATRIC DENTISTRY
Location Address75 JOHN ROBERTS RD, SUIT 10BSouth Portland, ME 04106-6914
Mailing Address75 John Roberts Rd, Suit 10bSouth Portland, ME 04106-6914 · (207) 773-3111
Organization SubpartNo
Authorized OfficialWhitney Ralston WignallPediatric Dentist · (207) 773-3111
Enumeration DateJuly 31, 2007
NPI 1184814568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ME · 3767
75 JOHN ROBERTS RD, South Portland, ME 04106

Other Providers at the Same Location NPPES 2

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

Pediatrics
75 JOHN ROBERTS RD, UNIT 8B
SOUTH PORTLAND, ME 04106
Internal Medicine (Obesity Medicine)
75 JOHN ROBERTS RD, B10
SOUTH PORTLAND, ME 04106

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 Southern Maine Pediatric Dentistry's NPI number?

The NPI number for Southern Maine Pediatric Dentistry is 1184814568. It was assigned to this organization in the NPPES registry on July 31, 2007.

Where is Southern Maine Pediatric Dentistry located?

Southern Maine Pediatric Dentistry is located at 75 John Roberts Rd Suit 10B, South Portland, ME 04106. The listed phone number is (207) 773-3111.

What is Southern Maine Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Southern Maine Pediatric Dentistry was last updated on July 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.