Dental Specialists of Maine, LLC
NPI 1811197601ActiveOrganization· Dentist, Endodontics· Portland, ME
Dentist, Endodontics in Portland, Maine, registered in NPPES in July 2007. The authorized official on file is Jared Boudreau, MBA, MSA, Practice Director.
Overview
| NPI | 1811197601 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 20, 2007 |
| Last updated in NPPES | Apr 1, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Endodontics Primary | 1223E0200X | 3810 | ME |
| Dentist, Endodontics | 1223E0200X | 4027 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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