Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roosevelt Dental, PA

Organization General Practice Dentistry · NPI 1194084731

Roosevelt Dental, PA provides General Practice Dentistry in Windham, Maine. Licensed in Maine. Registered with an NPI since 2012.

Licensed in
ME
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

840 Roosevelt Trl
Windham, ME 04062-5375 Not confirmed with CMS for 14 years — call before visiting
Phone: (207) 894-5580
Fax: (207) 894-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4101 (ME)

Record details

NPI number1194084731
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugene Kim — Owner · (207) 894-5580
NPI enumeratedMay 15, 2012
Last updated in NPPESMay 15, 2012
Mailing address840 Roosevelt Trl, Windham, ME 04062-5375

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