JETPORT DENTURE CENTER
NPI 1649580853
Clinic/Center - Dental in Windham, ME

Active since October 21, 2010
530 ROOSEVELT TRL, WINDHAM, ME 04062(207) 893-1346(207) 893-0114 Get Directions Write a Review

NPPES record last updated: October 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jetport Denture Center NPPES

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

JETPORT DENTURE CENTER (NPI 1649580853) is a healthcare organization registered as a dental in Windham, Maine and active in the NPI registry since October 2010. The organization lists Kelly Carbone Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1649580853
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameINDEPENDENT DENTURE CENTER PC
Location Address530 ROOSEVELT TRLWindham, ME 04062-4901
Mailing AddressPo Box 1018Windham, ME 04062-1018 · (207) 893-1346 · Fax (207) 893-0114
Fax(207) 893-0114
Organization SubpartNo
Authorized OfficialKelly Carbone RichardsonPresident · (207) 893-1346
Enumeration DateOctober 21, 2010
NPI 1649580853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in ME · 5024
530 ROOSEVELT TRL, Windham, ME 04062

Other Names 1

Doing Business AsJetport Denture Center

Other Identifiers 1

Medicaid433189000ME

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 Independent Denture Center PC's NPI number?

The NPI number for Independent Denture Center PC is 1649580853. It was assigned to this organization in the NPPES registry on October 21, 2010. The provider is doing business as Jetport Denture Center.

Where is Independent Denture Center PC located?

Independent Denture Center PC is located at 530 Roosevelt Trl, Windham, ME 04062. The listed phone number is (207) 893-1346.

What is Independent Denture Center PC'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 Independent Denture Center PC was last updated on October 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.