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MD Portland LLC — NPI 1003430711, Portland, ME | NPI Central

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NPI 1003430711

OrganizationActive

MD Portland LLC

NPI 1003430711 · Dental Clinic/Center · Portland, ME

Provider details

NPI number: 1003430711
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Parent organization: Lawlor Enterprises LLC
Organization subpart: Yes
Authorized official: Ben Lawlor, Owner(207) 307-1793

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

15 Middle St # A-C2

Portland, ME 04101-4881

Phone: (207) 307-1793

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

Po Box 850

Gray, ME 04039-0850

Registry dates

Enumerated: 2020-05-29
Last updated: 2020-05-29
Certified: 2020-05-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.