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LAKESIDE DENTAL LLC
NPI 1891262804
Clinic/Center - Dental in Manchester, ME

Active since October 29, 2018
1051 WESTERN AVE, MANCHESTER, ME 04351(207) 310-0842 Get Directions Write a Review

NPPES record last updated: October 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Dental Llc NPPES

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

LAKESIDE DENTAL LLC (NPI 1891262804) is a healthcare organization registered as a dental in Manchester, Maine and active in the NPI registry since October 2018. The organization lists Ryan Salamon, Manager, as its authorized official.

NPPES Registry Identity

NPI1891262804
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAKESIDE DENTAL LLC
Location Address1051 WESTERN AVEManchester, ME 04351-3403
Mailing Address60 Willow LnPortland, ME 04102-2629 · (207) 310-0842
Phone(207) 310-0842
Organization SubpartNo
Authorized OfficialRyan SalamonManager · (207) 310-0842
Enumeration DateOctober 29, 2018
✔ NPI 1891262804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1051 WESTERN AVE, Manchester, ME 04351
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Other Providers at the Same Location NPPES

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

JAMES B. NEWTON DMD
Dentist (General Practice)
1051 WESTERN AVE
MANCHESTER, ME 04351
Kennebec County (207) 621-0136

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 Lakeside Dental LLC's NPI number?

The NPI number for Lakeside Dental LLC is 1891262804. It was assigned to this organization in the NPPES registry on October 29, 2018.

Where is Lakeside Dental LLC located?

Lakeside Dental LLC is located at 1051 Western Ave, Manchester, ME 04351. The listed phone number is (207) 310-0842.

What is Lakeside Dental 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 Lakeside Dental LLC was last updated on October 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.