OrganizationActive
Independent Denture Center PC
NPI 1649580853 · Dental Clinic/Center · Windham, ME
Provider details
- NPI number
- 1649580853
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Kelly Carbone Richardson, President
- License
- 5024 (ME)
Practice location
530 Roosevelt Trl
Windham, ME 04062-4901
Phone: (207) 893-1346
Fax: (207) 893-0114
Mailing address
Po Box 1018
Windham, ME 04062-1018
Registry dates
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.