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

Maine Pediatric Dentistry LLC

Organization Pediatric Dentistry · NPI 1073363677

Maine Pediatric Dentistry LLC is a Pediatric Dentistry in South Portland, Maine. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

85 Western Ave
South Portland, ME 04106-2423
Phone: (207) 408-0479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Great Falls Plz, Auburn, ME 04212-8103 — (207) 784-4222

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1073363677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lee — Coo · (732) 207-1689
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 25, 2024
Mailing address290 Bridgton Rd Ste 2, Westbrook, ME 04092-3754

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