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DENTAL SPECIALISTS OF MAINE, LLC
NPI 1811197601
Dentist - Endodontics in Portland, ME

Active since July 20, 2007
1355 CONGRESS ST STE A, PORTLAND, ME 04102(207) 879-0010(207) 879-0011 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dental Specialists Of Maine, Llc NPPES

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

DENTAL SPECIALISTS OF MAINE, LLC (NPI 1811197601) is a healthcare organization registered as an endodontics in Portland, Maine and active in the NPI registry since July 2007. The organization lists Jared Boudreau, Practice Director, as its authorized official.

NPPES Registry Identity

NPI1811197601
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameDENTAL SPECIALISTS OF MAINE, LLC
Location Address1355 CONGRESS ST STE APortland, ME 04102-2137
Mailing Address1355 Congress St Ste APortland, ME 04102-2137 · (207) 879-0010 · Fax (207) 879-0011
Phone(207) 879-0010
Fax(207) 879-0011
Organization SubpartNo
Authorized OfficialJared BoudreauPractice Director · (207) 879-0010
Enumeration DateJuly 20, 2007
Last NPPES UpdateApril 1, 2013
✔ NPI 1811197601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in ME · 3810✔ Licensed in ME · 4027
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
1355 CONGRESS ST STE A, Portland, ME 04102
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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

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 Dental Specialists Of Maine, LLC's NPI number?

The NPI number for Dental Specialists Of Maine, LLC is 1811197601. It was assigned to this organization in the NPPES registry on July 20, 2007.

Where is Dental Specialists Of Maine, LLC located?

Dental Specialists Of Maine, LLC is located at 1355 Congress St Ste A, Portland, ME 04102. The listed phone number is (207) 879-0010.

What is Dental Specialists Of Maine, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Dental Specialists Of Maine, LLC was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.