Periodontal Associates in Portland - Periodontics
Periodontal Associates - NPI 1932329943
Periodontal Associates is a Periodontics in Portland, Maine. Periodontal Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Periodontal Associates is 1932329943. The last update date is 2020-08-22.
Periodontal Associates's current location address is 612 Brighton Ave, Portland, Maine. You can contact this provider via phone number 2077727459 and fax number 2078746460. The mailing address for Periodontal Associates is 612 Brighton Ave, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal Associates |
|---|---|
| Address | 612 Brighton Ave, Portland, Maine |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gordon D George |
| Credentials | DMD |
| Telephone Number | 2077727459 |
NPI Number Detail
| NPI Number | 1932329943 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 612 Brighton Ave |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41022359 |
| Phone Number | 2077727459 |
| Fax Number | 2078746460 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2204 |
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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 Periodontal Associates by the Centers for Medicare & Medicaid Services?
The Periodontal Associates has been assigned the NPI (National Provider Identifier) 1932329943. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Periodontal Associates is physically located?
The Periodontal Associates is situated at the following address: 612 Brighton Ave, Portland, ME 41022359.
What is Periodontal Associates's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Periodontal Associates is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Periodontal Associates receive its 1932329943 assignment from the Centers for Medicare & Medicaid Services?
The Periodontal Associates was assigned its 1932329943 by the Centers for Medicare & Medicaid Services on 2007-05-01.
When was the information related to Periodontal Associates most recently updated or refreshed?
The details pertaining to the Periodontal Associates, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
NPI Number: 1083602577
Address: 11535 Carmel Commons Blvd, Charlotte, NC