OrganizationActive
Mainely Kids & Teens, LLC
NPI 1720796857 · Pediatric Dentistry · Rumford, ME
Provider details
- NPI number
- 1720796857
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jeff Bateman, Ceo(207) 974-3018
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
60 Lowell St
Rumford, ME 04276-2064
Phone: (207) 974-3018
Street-level locationGet directions
Mailing address
1 Cumberland Pl Ste 116
Bangor, ME 04401-5087
Other names (DBA / former)
- Doing business as
- Rumford Children'S Dentistry
Registry dates
- Enumerated
- 2022-11-08
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.