NPI 1003430711

MD Portland LLC

Organisation Dental Clinic/Center Portland, ME

Practice location

Address: 15 Middle St # A-C2, Portland, ME 04101-4881
Phone: (207) 307-1793
Mailing address: PO Box 850, Gray, ME 04039-0850

Authorised official

Name: Ben Lawlor
Title: Owner
Phone: (207) 307-1793

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Maine →

Registry record

NPI: 1003430711
Entity type: Organization
NPI issued: 29 May 2020
Record last updated: 29 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.