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Lakeside Dental LLC — NPI 1891262804, Manchester, ME | NPI Central

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NPI 1891262804

OrganizationActive

Lakeside Dental LLC

NPI 1891262804 · Dental Clinic/Center · Manchester, ME

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

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

1051 Western Ave

Manchester, ME 04351-3403

Phone: (207) 310-0842

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

60 Willow Ln

Portland, ME 04102-2629

Registry dates

Enumerated: 2018-10-29
Last updated: 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.