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PORTLAND CENTER FOR DENTISTRY LLC
NPI 1861204513
Clinic/Center - Dental in Portland, ME

Active since January 21, 2025
612 BRIGHTON AVE STE 1, PORTLAND, ME 04102(207) 560-9057 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Portland Center For Dentistry Llc NPPES

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

PORTLAND CENTER FOR DENTISTRY LLC (NPI 1861204513), doing business as Portland Center For Dentistry, is a healthcare organization registered as a dental in Portland, Maine and active in the NPI registry since January 2025. The organization lists David Lee, Coo, as its authorized official.

NPPES Registry Identity

NPI1861204513
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePORTLAND CENTER FOR DENTISTRY LLC
Location Address612 BRIGHTON AVE STE 1Portland, ME 04102-2359
Mailing Address290 Bridgton Rd Ste 2Westbrook, ME 04092-3754 · (732) 207-1689
Phone(207) 560-9057
Organization SubpartNo
Authorized OfficialDavid LeeCoo · (732) 207-1689
Enumeration DateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1861204513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
612 BRIGHTON AVE STE 1, Portland, ME 04102
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Other Names 1

Doing Business AsPortland Center For Dentistry

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 Portland Center For Dentistry LLC's NPI number?

The NPI number for Portland Center For Dentistry LLC is 1861204513. It was assigned to this organization in the NPPES registry on January 21, 2025. The provider is doing business as Portland Center For Dentistry.

Where is Portland Center For Dentistry LLC located?

Portland Center For Dentistry LLC is located at 612 Brighton Ave Ste 1, Portland, ME 04102. The listed phone number is (207) 560-9057.

What is Portland Center For Dentistry 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 Portland Center For Dentistry LLC was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.