OrganizationActive
Breakwater Dental, LLC
NPI 1811575202 · General Practice Dentistry · South Portland, ME
Breakwater Dental, LLC is a General Practice Dentistry organization in South Portland, ME (NPI 1811575202).
Provider details
- NPI number
- 1811575202
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shilo Annis, Owner/Dentist(207) 272-9847
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
25 Long Creek Dr Unit D
South Portland, ME 04106-2440
Phone: (207) 775-2072
Street-level locationGet directions
Mailing address
5 Midnight Ln
Gorham, ME 04038-2376
Registry dates
- Enumerated
- 2021-03-29
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Frequently asked questions
- What is Breakwater Dental, LLC's NPI number?
- Breakwater Dental, LLC's National Provider Identifier (NPI) is 1811575202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakwater Dental, LLC?
- Breakwater Dental, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Breakwater Dental, LLC located?
- Breakwater Dental, LLC's practice location on file with NPPES is 25 Long Creek Dr Unit D, South Portland, ME 04106-2440.
- What is Breakwater Dental, LLC's phone number?
- The practice phone number listed in the NPPES registry for Breakwater Dental, LLC is (207) 775-2072.
- Who is the authorized official for Breakwater Dental, LLC?
- The authorized official listed on Breakwater Dental, LLC's NPPES record is Shilo Annis, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakwater Dental, LLC's NPI active?
- Yes — Breakwater Dental, LLC's NPI (1811575202) is active in the NPPES registry as of the last update on 2021-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.