Organization Active NPI

Reagan Family Dentistry, PLLC

  • Dental Clinic/Center
  • Portland, ME
National Provider Identifier
1396663308
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
REAGAN FAMILY DENTISTRY, PLLC
Practice address
380 Auburn St
Portland, ME 04103-2110
Phone
(207) 878-3540
NPI assigned
Jul 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Zachary Kyle Reagan, D.M.D.
Title
Owner
Phone
(207) 423-2674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

380 Auburn St
Portland, ME 04103-2110

Mailing address

380 Auburn St
Portland, ME 04103-2110
Phone (207) 878-3540

Other names 1

  • Reagan and Anzelc Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

380 Auburn St
Portland, ME 04103
Phone (207) 878-3540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1396663308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032110",
            "telephone_number": "207-878-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 AUBURN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032110",
            "telephone_number": "207-878-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAGAN FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "REAGAN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-423-2674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reagan and Anzelc Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.