Esthetic Dentistry Of Maine, Llc

Specialty details in registry · South Portland, ME

Call (207) 772-1996 Directions

At a glance

192 Western Ave, South Portland, ME 04106-2428

NPPES record updated Jan 18, 2008. Public records can lag behind changes at a practice.

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Practice location

192 Western Ave
South Portland, ME 04106-2428
Professional details: NPI, taxonomy & registry record
NPI1760668818
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
Jan 18, 2008
Record updated
Jan 18, 2008
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License reported: 2490

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

192 Western Ave
South Portland, ME 04106-2428
Phone
(207) 772-1996
Mailing address
192 WESTERN AVE

SOUTH PORTLAND, ME 041062428
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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