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MAINELY KIDS & TEENS, LLC
NPI 1467835678
Dentist - Pediatric Dentistry in Brewer, ME

Active since July 07, 2015

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Nov 8, 2022, Nov 23, 2015 (3 updates tracked since 2015).

About Mainely Kids & Teens, Llc NPPES

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

MAINELY KIDS & TEENS, LLC (NPI 1467835678), doing business as Bangor Children's Dentistry, is a healthcare organization registered as a pediatric dentistry in Brewer, Maine and active in the NPI registry since July 2015. The organization lists Terrin Porter, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1467835678
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMAINELY KIDS & TEENS, LLC
Location Address26 ACME RDBrewer, ME 04412
Mailing Address26 Acme RdBrewer, ME 04412 · (207) 974-3018
Phone(207) 974-3018
Organization SubpartNo
Authorized OfficialTerrin PorterDentist/owner · (207) 852-3029
Enumeration DateJuly 7, 2015
Last NPPES UpdateAugust 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
✔ NPI 1467835678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in ME · DEN4256✔ Licensed in ME · DEN4448
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.
26 ACME RD, Brewer, ME 04412
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Other Names 1

Doing Business AsBangor Children's Dentistry

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 MULTIPLE 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.

MR. WILLIAM EUGENE WIGGIN LCSW
Social Worker (Clinical)
26 ACME RD
BREWER, ME 04412
Penobscot County (207) 989-9720
MAX WERNER LCPC
Counselor (Professional)
26 ACME RD
BREWER, ME 04412
Penobscot County (207) 989-9720

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 Mainely Kids & Teens, LLC's NPI number?

The NPI number for Mainely Kids & Teens, LLC is 1467835678. It was assigned to this organization in the NPPES registry on July 7, 2015. The provider is doing business as Bangor Children's Dentistry.

Where is Mainely Kids & Teens, LLC located?

Mainely Kids & Teens, LLC is located at 26 Acme Rd, Brewer, ME 04412. The listed phone number is (207) 974-3018.

What is Mainely Kids & Teens, 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 Mainely Kids & Teens, LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.