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ROOSEVELT DENTAL, P.A.
NPI 1194084731
Dentist - General Practice in Windham, ME

Active since May 15, 2012
840 ROOSEVELT TRL, WINDHAM, ME 04062(207) 894-5580(207) 894-5590 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roosevelt Dental, P.a. NPPES

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

ROOSEVELT DENTAL, P.A. (NPI 1194084731) is a healthcare organization registered as a general practice in Windham, Maine and active in the NPI registry since May 2012. The organization lists Eugene Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1194084731
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROOSEVELT DENTAL, P.A.
Location Address840 ROOSEVELT TRLWindham, ME 04062-5375
Mailing Address840 Roosevelt TrlWindham, ME 04062-5375 · (207) 894-5580 · Fax (207) 894-5590
Phone(207) 894-5580
Fax(207) 894-5590
Organization SubpartNo
Authorized OfficialEugene KimOwner · (207) 894-5580
Enumeration DateMay 15, 2012
✔ NPI 1194084731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ME · 4101
Definition
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.
840 ROOSEVELT TRL, Windham, ME 04062
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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 4

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

DR. BRADFORD THOMAS WENZEL DMD
Dentist (General Practice)
840 ROOSEVELT TRL
WINDHAM, ME 04062
Cumberland County (207) 894-5580
DR. KWONDUK JUNG DMD
Dentist
840 ROOSEVELT TRL
WINDHAM, ME 04062
Cumberland County (207) 894-5580
SAMEERA BHANDARI DMD
Dentist (General Practice)
840 ROOSEVELT TRL
WINDHAM, ME 04062
Cumberland County (207) 894-5580
GEORGIA SMITH D.D.S.
Dentist
840 ROOSEVELT TRL
WINDHAM, ME 04062
Cumberland County (207) 894-5580

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 Roosevelt Dental, P.A.'s NPI number?

The NPI number for Roosevelt Dental, P.A. is 1194084731. It was assigned to this organization in the NPPES registry on May 15, 2012.

Where is Roosevelt Dental, P.A. located?

Roosevelt Dental, P.A. is located at 840 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 894-5580.

What is Roosevelt Dental, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roosevelt Dental, P.A. was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.