Jet Dental of Maine, Pllc
NPI #1356216949 in South Portland, Maine
Provider Information
- NPI Number
- 1356216949
- Entity Type
- Organization
- Organization Name
- Jet Dental of Maine, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JET MANAGEMENT SERVICES, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2025
- Last Updated
- Oct 6, 2025
Practice Location
- Address
- 443 WESTERN AVE # 1024
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1726
- Phone
- (801) 430-9262
Authorized Official
- Name
- MATTHEW POWELL-WASSERMAN
- Title
- OWNER
- Phone
- (931) 220-3714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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