Mainely Kids & Teens, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN4256 Issued in ME

Legal business name

MAINELY KIDS & TEENS, LLC

Doing business as

Bangor Children's Dentistry

Practice address

26 Acme Rd
Brewer, ME 04412

Phone

(207) 974-3018

NPI assigned

Jul 7, 2015

Last updated

Aug 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terrin Porter, DDS

Title

Dentist/Owner

Phone

(207) 852-3029

Specialties & licenses 2

Addresses

Other names 1

• Bangor Children's Dentistry Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Mainely Kids Teens LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mainely Kids & Teens, LLC

  dba Rumford Children's Dentistry

  • Pediatric Dentistry
  • Rumford, ME
  • NPI 1720796857
  NPD tax ID
• Mainely Kids & Teens, LLC

  dba Wee Care Children's Dentistry

  • Pediatric Dentistry
  • Augusta, ME
  • NPI 1801433750
  NPD tax ID

Locations

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1467835678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ACME RD",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "04412",
            "telephone_number": "207-974-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ACME RD",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "04412",
            "telephone_number": "207-974-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINELY KIDS & TEENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-08-06",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "TERRIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "207-852-3029",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "DEN4256",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ME",
            "license": "DEN4448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bangor Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Macvicar, M.S. OTR/L
• Jeni Lee Madden, R.D.H.
• Chelsea Magee
• Susan J Magill, MA
• Maegan A Mahan
• Majestic Care Services LLC
• Meghan R Mamula, DO
• Julia Manzerova, M.D./PH.D.
• Manzo Corporation (Autumn of Life Home Care)
• Melanie Marie Marchman, LCSW

• Pediatric Dentistry in Brewer, ME
• Providers in Brewer, ME by specialty
• Pediatric Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.