Northeast Periodoantal Associates in Bangor - Periodontics
Northeast Periodoantal Associates - NPI 1396967824
Northeast Periodoantal Associates is a Periodontics in Bangor, Maine. Northeast Periodoantal Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Northeast Periodoantal Associates is 1396967824. The last update date is 2020-08-22.
Northeast Periodoantal Associates's current location address is 20 Penn Plaza, Suite 32, Bangor, Maine. You can contact this provider via phone number 2079412300 and fax number 2079419683. The mailing address for Northeast Periodoantal Associates is 20 Penn Plaza, Suite 32, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Periodoantal Associates |
|---|---|
| Address | 20 Penn Plaza, Suite 32, Bangor, Maine |
| Phone Number | 2079412300 |
| Fax Number | 2079419683 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PERIODONTI |
|---|---|
| Authorized Official Name | Reidy Laura |
| Credentials | D.M.D. |
| Telephone Number | 2079412300 |
NPI Number Detail
| NPI Number | 1396967824 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20 Penn Plaza, Suite 32 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 4401 |
| 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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Post Comment/ Review Below
What is the unique identifier code issued to Northeast Periodoantal Associates by the Centers for Medicare & Medicaid Services (CMS)?
The Northeast Periodoantal Associates has been assigned the NPI (National Provider Identifier) 1396967824. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Northeast Periodoantal Associates's physical address?
The Northeast Periodoantal Associates is physically located at 20 Penn Plaza, Suite 32, in the city of Bangor, ME, with the postal code 4401.
What is the Northeast Periodoantal Associates's area of specialization and corresponding taxonomy classification?
The Northeast Periodoantal Associates's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1396967824 to Northeast Periodoantal Associates?
The Centers for Medicare & Medicaid Services assigned the 1396967824 to Northeast Periodoantal Associates on 2007-05-03.
As of what date were the Northeast Periodoantal Associates's details last updated?
The information pertaining to the Northeast Periodoantal Associates, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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