Portland Center for Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PORTLAND CENTER FOR DENTISTRY LLC

Doing business as

Portland Center For Dentistry

Practice address

612 Brighton Ave Ste 1
Portland, ME 04102-2359

Phone

(207) 560-9057

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 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

David LeeNPI 1770189672

Title

Coo

Phone

(732) 207-1689

Specialties & licenses 1

Addresses

Other names 1

• Portland Center For Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lee, R.PH

  • Pharmacist
  • Springfield, NJ
  • NPI 1770189672
  Authorized official Same address or phone

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1861204513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BRIDGTON RD STE 2",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040923754",
            "telephone_number": "732-207-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 BRIGHTON AVE STE 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022359",
            "telephone_number": "207-560-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND CENTER FOR DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-207-1689"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Center For Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Port City Physical Therapy Limited Partnership
• Will Porta, LMSW-CC
• Daniel Porter, MSN, PMHNP-BC
• Portland Cardiology P.a.
• Portland Center for Counseling and Psychotherapy
• Portland Chiropractic Neurology, LLC
• Portland Community Health Center (Portland Community Health Center- Health Care for the Homeless Program)
• Portland Community Health Center (Greater Portland Health-Huston Commons)
• Portland Community Health Center
• Portland Community Health Center (Moore Middle School)

• Dental Clinic/Center in Portland, ME
• Providers in Portland, ME by specialty
• Dental Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.