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MDG DENTAL ELLSWORTH PA LLC
NPI 1558966259
Clinic/Center - Dental in Blue Hill, ME

Active since December 01, 2020
292 SOUTH ST, BLUE HILL, ME 04614(207) 374-5398 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2025, Dec 1, 2020 (2 updates tracked since 2020).

About Mdg Dental Ellsworth Pa Llc NPPES

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

MDG DENTAL ELLSWORTH PA LLC (NPI 1558966259), doing business as Blue Hill Peninsula Dental, is a healthcare organization registered as a dental in Blue Hill, Maine and active in the NPI registry since December 2020. The organization lists Michael D Gillins, Owner, as its authorized official.

NPPES Registry Identity

NPI1558966259
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMDG DENTAL ELLSWORTH PA LLC
Location Address292 SOUTH STBlue Hill, ME 04614-6122
Mailing AddressPo Box 6158Blue Hill, ME 04614-6158 · (207) 374-5398
Phone(207) 374-5398
Organization SubpartNo
Authorized OfficialMichael D GillinsOwner · (207) 374-5398
Enumeration DateDecember 1, 2020
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
✔ NPI 1558966259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
292 SOUTH ST, Blue Hill, ME 04614
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Other Names 1

Doing Business AsBlue Hill Peninsula Dental

Other Identifiers 1

Medicaid1528323102WI

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 Mdg Dental Ellsworth PA LLC's NPI number?

The NPI number for Mdg Dental Ellsworth PA LLC is 1558966259. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Blue Hill Peninsula Dental.

Where is Mdg Dental Ellsworth PA LLC located?

Mdg Dental Ellsworth PA LLC is located at 292 South St, Blue Hill, ME 04614. The listed phone number is (207) 374-5398.

What is Mdg Dental Ellsworth PA LLC'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 Mdg Dental Ellsworth PA LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.