1. Home
  2. Directory
  3. Maine
  4. Portland
  5. Dentist
  6. NPI Profile

DOWNEAST PEDIATRIC DENTISTRY PLLC
NPI 1720656705
Dentist - Pediatric Dentistry in Portland, ME

Active since June 15, 2021
888 BRIGHTON AVE, PORTLAND, ME 04102(207) 772-4111(207) 761-6953 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Jun 15, 2021 (2 updates tracked since 2021).

About Downeast Pediatric Dentistry Pllc NPPES

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

DOWNEAST PEDIATRIC DENTISTRY PLLC (NPI 1720656705) is a healthcare organization registered as a pediatric dentistry in Portland, Maine and active in the NPI registry since June 2021. The organization lists Mariah Thibault, Chief Operations Officer, as its authorized official.

NPPES Registry Identity

NPI1720656705
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameDOWNEAST PEDIATRIC DENTISTRY PLLC
Location Address888 BRIGHTON AVEPortland, ME 04102-1004
Mailing Address716 N Country Club RdTucson, AZ 85716-4591 · (520) 326-8516 · Fax (520) 326-1012
Phone(207) 772-4111
Fax(207) 761-6953
Organization SubpartNo
Authorized OfficialMariah ThibaultChief Operations Officer · (520) 276-2220
Enumeration DateJune 15, 2021
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1720656705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
888 BRIGHTON AVE, Portland, ME 04102
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. SUSAN J RUSSETT-COLLETT DDS
Dentist (Pediatric Dentistry)
888 BRIGHTON AVE
PORTLAND, ME 04102
Cumberland County (207) 772-4111

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 Downeast Pediatric Dentistry PLLC's NPI number?

The NPI number for Downeast Pediatric Dentistry PLLC is 1720656705. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Downeast Pediatric Dentistry PLLC located?

Downeast Pediatric Dentistry PLLC is located at 888 Brighton Ave, Portland, ME 04102. The listed phone number is (207) 772-4111.

What is Downeast Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Downeast Pediatric Dentistry PLLC accept?

Health plans from UnitedHealthcare list Downeast Pediatric Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Downeast Pediatric Dentistry PLLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.