Denise M Theriault in Portland - Periodontics
Denise M Theriault - NPI 1609098425
Denise M Theriault is a Periodontics in Portland, Maine. Denise M Theriault practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Denise M Theriault is 1609098425. The last update date is 2007-07-08.
Denise M Theriault's current location address is 276 Canco Rd, Portland, Maine. You can contact this provider via phone number 2077801822 and fax number 2077806022. The mailing address for Denise M Theriault is 276 Canco Rd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Denise M Theriault |
|---|---|
| Address | 276 Canco Rd, Portland, Maine |
| Phone Number | 2077801822 |
| Fax Number | 2077806022 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1609098425 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 276 Canco Rd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41034351 |
| Phone Number | 2077801822 |
| Fax Number | 2077806022 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 3390 |
|
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 10-digit identifier code issued to Denise M Theriault by the Centers for Medicare & Medicaid Services?
The Denise M Theriault has been assigned the NPI (National Provider Identifier) 1609098425 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Denise M Theriault's facilities are geographically located?
The facilities of Denise M Theriault are physically situated at the following location: 276 Canco Rd, Portland, ME, 41034351.
What is the Denise M Theriault's specialty and taxonomy code?
The Denise M Theriault's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date was the 1609098425 assigned to Denise M Theriault?
The Denise M Theriault was issued its 1609098425 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Denise M Theriault, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Denise M Theriault, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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