CREATIVE DENTAL LLC
NPI 1194574723
Dentist - General Practice in Bangor, ME

Active since May 15, 2024
1407 BROADWAY, BANGOR, ME 04401(207) 942-3000(207) 992-4054 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creative Dental Llc NPPES

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

CREATIVE DENTAL LLC (NPI 1194574723), doing business as Creative Dental Solutions, is a healthcare organization registered as a general practice in Bangor, Maine and active in the NPI registry since May 2024. The organization lists David Lee, Coo, as its authorized official.

NPPES Registry Identity

NPI1194574723
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCREATIVE DENTAL LLC
Location Address1407 BROADWAYBangor, ME 04401-2403
Mailing Address290 Bridgton Rd Ste 2Westbrook, ME 04092-3754 · (732) 207-1689
Fax(207) 992-4054
Organization SubpartNo
Authorized OfficialDavid LeeCoo · (732) 207-1689
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
NPI 1194574723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1407 BROADWAY, Bangor, ME 04401

Other Names 1

Doing Business AsCreative Dental Solutions

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 2

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

Dentist (General Practice)
1407 BROADWAY
BANGOR, ME 04401
Clinic/Center (Dental)
1407 BROADWAY
BANGOR, ME 04401

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 Creative Dental LLC's NPI number?

The NPI number for Creative Dental LLC is 1194574723. It was assigned to this organization in the NPPES registry on May 15, 2024. The provider is doing business as Creative Dental Solutions.

Where is Creative Dental LLC located?

Creative Dental LLC is located at 1407 Broadway, Bangor, ME 04401. The listed phone number is (207) 942-3000.

What is Creative Dental LLC'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 Creative Dental LLC was last updated on May 15, 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.