Laura Ann Reidy is a Periodontics in Bangor, Maine. Laura Ann Reidy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Laura Ann Reidy is 1649260936. The last update date is 2007-07-08.
Laura Ann Reidy's current location address is 20 Penn Plz, Bangor, Maine. You can contact this provider via phone number 2079412300 and fax number 2079419683. The mailing address for Laura Ann Reidy is 20 Penn Plz, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Ann Reidy |
|---|---|
| Address | 20 Penn Plz, Bangor, Maine |
| Phone Number | 2079412300 |
| Fax Number | 2079419683 |
| Sole Proprietor | X |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1649260936 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20 Penn Plz |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013620 |
| Phone Number | 2079412300 |
| Fax Number | 2079419683 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3092 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3734 | ME | BC/BS PIN NUMBER |
Post Comment/ Review Below
What is the Laura Ann Reidy's unique identification number?
The Laura Ann Reidy has been assigned the NPI (National Provider Identifier) Number 1649260936 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Laura Ann Reidy's physical address?
The Laura Ann Reidy is physically located at 20 Penn Plz, in the city of Bangor, ME, with the postal code 44013620.
What is Laura Ann Reidy's area of expertise and its corresponding taxonomy classification?
The Laura Ann Reidy's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1649260936 to Laura Ann Reidy?
The Centers for Medicare & Medicaid Services assigned the 1649260936 to Laura Ann Reidy on 2005-10-27.
As of what date were the details related to Laura Ann Reidy most recently updated or revised?
The information pertaining to Laura Ann Reidy, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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