Individual
DR. MICHELLE DENISE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1 COLLEGE ST, PORTLAND, ME 04103-2617
(207) 221-4784
(507) 934-0148
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 221-4784
(507) 934-0148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11547
MN
122300000X
Dentist
Primary
DEN5286
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
719415300
—
MN
Enumeration date
11/01/2006
Last updated
08/07/2025
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