OrganizationActive
Roosevelt Dental, P.A.
NPI 1194084731 · General Practice Dentistry · Windham, ME
Roosevelt Dental, P.A. is a General Practice Dentistry organization in Windham, ME (NPI 1194084731).
Provider details
- NPI number
- 1194084731
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Eugene Kim, Owner(207) 894-5580
- License
- 4101 (ME)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
840 Roosevelt Trl
Windham, ME 04062-5375
Phone: (207) 894-5580
Fax: (207) 894-5590
Street-level locationGet directions
Mailing address
840 Roosevelt Trl
Windham, ME 04062-5375
Registry dates
- Enumerated
- 2012-05-15
- Last updated
- 2012-05-15
Frequently asked questions
- What is Roosevelt Dental, P.A.'s NPI number?
- Roosevelt Dental, P.A.'s National Provider Identifier (NPI) is 1194084731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roosevelt Dental, P.A.?
- Roosevelt Dental, P.A. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Roosevelt Dental, P.A. located?
- Roosevelt Dental, P.A.'s practice location on file with NPPES is 840 Roosevelt Trl, Windham, ME 04062-5375.
- What is Roosevelt Dental, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Dental, P.A. is (207) 894-5580.
- Who is the authorized official for Roosevelt Dental, P.A.?
- The authorized official listed on Roosevelt Dental, P.A.'s NPPES record is Eugene Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roosevelt Dental, P.A.'s NPI active?
- Yes — Roosevelt Dental, P.A.'s NPI (1194084731) is active in the NPPES registry as of the last update on 2012-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.