COMMUNITY DENTAL
NPI 1467528851
Dentist in Portland, ME

Active since November 28, 2006
190 PARK AVE, PORTLAND, ME 04102(207) 874-1028(207) 842-2963 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 18, 2017 (2 updates tracked since 2017).

About Community Dental NPPES

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

COMMUNITY DENTAL (NPI 1467528851) is a healthcare organization registered as a dentist in Portland, Maine and active in the NPI registry since November 2006. The organization lists Shelley Pelkey, It Coordinator, as its authorized official.

NPPES Registry Identity

NPI1467528851
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOMMUNITY DENTAL
Location Address190 PARK AVEPortland, ME 04102-2910
Mailing Address190 Park AvePortland, ME 04102-2910 · (207) 874-1028 · Fax (207) 842-2963
Fax(207) 842-2963
Organization SubpartYes
Authorized OfficialShelley PelkeyIt Coordinator · (207) 874-1025
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1467528851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
190 PARK AVE, Portland, ME 04102

Other Identifiers 1

Medicaid167870000ME

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 14

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

Dentist
190 PARK AVE
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
190 PARK AVE
PORTLAND, ME 04102
Dentist
190 PARK AVE
PORTLAND, ME 04102
Student in an Organized Health Care Education/Training Program
190 PARK AVE
PORTLAND, ME 04102
Dentist (General Practice)
190 PARK AVE
PORTLAND, ME 04102
Dentist (General Practice)
190 PARK AVE
PORTLAND, ME 04102
Dentist
190 PARK AVE
PORTLAND, ME 04102
Dentist (General Practice)
190 PARK AVE
PORTLAND, ME 04102

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 Community Dental's NPI number?

The NPI number for Community Dental is 1467528851. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Community Dental located?

Community Dental is located at 190 Park Ave, Portland, ME 04102. The listed phone number is (207) 874-1028.

What is Community Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Community Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.