OrganizationActive
Maine Pediatric Dentistry LLC
NPI 1073363677 · Pediatric Dentistry · South Portland, ME
Maine Pediatric Dentistry LLC is a Pediatric Dentistry organization in South Portland, ME (NPI 1073363677).
Provider details
- NPI number
- 1073363677
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- David Lee, Coo(732) 207-1689
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
85 Western Ave
South Portland, ME 04106-2423
Phone: (207) 408-0479
Street-level locationGet directions
Mailing address
290 Bridgton Rd Ste 2
Westbrook, ME 04092-3754
Additional practice locations (1)
- 2 Great Falls PlzAuburn, ME 04212-8103Phone: (207) 784-4222
Registry dates
- Enumerated
- 2024-03-26
- Last updated
- 2024-03-26
- Certified
- 2024-03-25
Frequently asked questions
- What is Maine Pediatric Dentistry LLC's NPI number?
- Maine Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1073363677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maine Pediatric Dentistry LLC?
- Maine Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Maine Pediatric Dentistry LLC located?
- Maine Pediatric Dentistry LLC's practice location on file with NPPES is 85 Western Ave, South Portland, ME 04106-2423.
- What is Maine Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Maine Pediatric Dentistry LLC is (207) 408-0479.
- Who is the authorized official for Maine Pediatric Dentistry LLC?
- The authorized official listed on Maine Pediatric Dentistry LLC's NPPES record is David Lee, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maine Pediatric Dentistry LLC's NPI active?
- Yes — Maine Pediatric Dentistry LLC's NPI (1073363677) is active in the NPPES registry as of the last update on 2024-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.