OrganizationActive
Lakeside Dental LLC
NPI 1891262804 · Dental Clinic/Center · Manchester, ME
Lakeside Dental LLC is a Dental Clinic/Center organization in Manchester, ME (NPI 1891262804).
Provider details
- NPI number
- 1891262804
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Salamon, Manager(207) 310-0842
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1051 Western Ave
Manchester, ME 04351-3403
Phone: (207) 310-0842
Street-level locationGet directions
Mailing address
60 Willow Ln
Portland, ME 04102-2629
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2018-10-29
Frequently asked questions
- What is Lakeside Dental LLC's NPI number?
- Lakeside Dental LLC's National Provider Identifier (NPI) is 1891262804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Dental LLC?
- Lakeside Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Dental LLC located?
- Lakeside Dental LLC's practice location on file with NPPES is 1051 Western Ave, Manchester, ME 04351-3403.
- What is Lakeside Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Dental LLC is (207) 310-0842.
- Who is the authorized official for Lakeside Dental LLC?
- The authorized official listed on Lakeside Dental LLC's NPPES record is Ryan Salamon, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Dental LLC's NPI active?
- Yes — Lakeside Dental LLC's NPI (1891262804) is active in the NPPES registry as of the last update on 2018-10-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.