Organization
MAINELY KIDS & TEENS, LLC
Active
Other names
Bangor Children's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TERRIN PORTER DDS (DENTIST/OWNER)
(207) 852-3029
Entity
Organization
Contact information
Practice address
26 ACME RD, BREWER, ME 04412
(207) 974-3018
Mailing address
26 ACME RD, BREWER, ME 04412
(207) 974-3018
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN4256
ME
1223P0221X
Pediatric Dentistry
DEN4448
ME
Other
Enumeration date
07/07/2015
Last updated
08/06/2025
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