Organization
MAINELY SMILES
Active
Other names
Mainely Teeth
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LOMBARDI (DIRECTOR OF FINANCE)
(603) 475-9909
Entity
Organization
Contact information
Practice address
117 AUBURN ST, PORTLAND, ME 04103-6003
(207) 808-9498
(207) 420-2455
Mailing address
117 AUBURN ST, PORTLAND, ME 04103-6003
(207) 808-9498
(207) 420-2455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223D0001X
Public Health Dentistry
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
12/17/2020
Last updated
02/26/2025
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