Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breakwater Dental, LLC

Organization General Practice Dentistry · NPI 1811575202

Breakwater Dental, LLC is a General Practice Dentistry in South Portland, Maine. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 Long Creek Dr Unit D
South Portland, ME 04106-2440
Phone: (207) 775-2072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1811575202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shilo Annis — Owner/Dentist · (207) 272-9847
NPI enumeratedMarch 29, 2021
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address5 Midnight Ln, Gorham, ME 04038-2376

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