| Maine Pediatric Dentistry Llc | |
|
85 Western Ave South Portland ME 04106-2423 | |
| (207) 408-0479 | |
| Not Available |
| Full Name | Maine Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 85 Western Ave, South Portland, Maine |
| Authorized Official Name and Position | David Lee (COO) |
| Authorized Official Contact | 7322071689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Pediatric Dentistry Llc 290 Bridgton Rd Ste 2 Westbrook ME 04092-3754 Ph: (732) 207-1689 | Maine Pediatric Dentistry Llc 85 Western Ave South Portland ME 04106-2423 Ph: (207) 408-0479 |
| NPI Number | 1073363677 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073363677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Root Dental Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-405-0004 Fax: 207-405-0004 | |
Pkv,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-773-1703 Fax: 207-773-0268 | |
W. David Melevsky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, South Portland, ME 04106 Phone: 207-761-6699 Fax: 207-761-0245 | |
Gary A Kokx Dmd Todd D Ray Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496 | |
Southern Maine Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 John Roberts Rd, Suit 10b, South Portland, ME 04106 Phone: 207-773-3111 | |
Prosthodontics Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Western Ave, South Portland, ME 04106 Phone: 207-775-6348 Fax: 207-775-6311 |