IndividualActive
Bruce Podhouser, DMD ABO
NPI 1619901857 · Dentist · South Portland, ME
Provider details
- NPI number
- 1619901857
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD ABO
- Sex
- Male
- Sole proprietor
- No
- License
- 3405 (ME)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
440 Western Ave
South Portland, ME 04106
Phone: (207) 772-5487
Fax: (207) 772-7553
Approximate (ZIP-level) locationGet directions
Mailing address
84 Rosewood Drive
Raymond, ME 04071
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.