Kailee S Jorgenson, DMD Valid NPI

Individual provider · General Practice Dentistry · Portland, ME

NPI

1043879372

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DEN4724 (ME)

Sex

Female

Sole proprietor

No

Enumerated

2019-06-11

Last updated

2025-01-22