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

Roosevelt Dental, PA

Organization General Practice Dentistry · NPI 1194084731

Roosevelt Dental, PA is a General Practice Dentistry in Windham, Maine. Licensed in Maine. Registered with an NPI since 2012.

Licensed in
ME
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

840 Roosevelt Trl
Windham, ME 04062-5375
Phone: (207) 894-5580
Fax: (207) 894-5590
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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 · Licence 4101 (ME)

Record details

NPI number1194084731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Kim — Owner · (207) 894-5580
NPI enumeratedMay 15, 2012
Last updated in NPPESMay 15, 2012
Mailing address840 Roosevelt Trl, Windham, ME 04062-5375

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