BREAKWATER DENTAL, LLC is a general practice dentist in South Portland, ME. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BREAKWATER DENTAL, LLC NPI is 1811575202. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
25 LONG CREEK DR UNIT D
SOUTH PORTLAND, ME
ZIP 04106-440
Phone: (207) 775-2072
The provider's authorized official is Shilo Annis .
The authorized official title is Owner/dentist and has the following contact phone number (207) 272-9847.
The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/29/2021.