Active NPI
Woodland Dental Aesthetics PLLC
- General Practice Dentistry
- Westbrook, ME
National Provider Identifier
1134032410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WOODLAND DENTAL AESTHETICS PLLC
- Practice address
- 1389 Bridgton Rd Ste 2
Westbrook, ME 04092-2573 - Phone
- (207) 464-2600
- Fax
- (207) 464-2800
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ivan Soberanes, DMD
- Title
- Dentist/Owner
- Phone
- (207) 464-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1389 Bridgton Rd Ste 2
Westbrook, ME 04092-2573
Mailing address
205 Pinecrest Rd
Portland, ME 04102-1225
Phone (207) 464-2600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1134032410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PINECREST RD",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021225",
"telephone_number": "207-464-2600",
"fax_number": "207-464-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 BRIDGTON RD STE 2",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040922573",
"telephone_number": "207-464-2600",
"fax_number": "207-464-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND DENTAL AESTHETICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "SOBERANES",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "207-464-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.