Southern Maine Periodontal Assoc Pa in Portland - Periodontics
Southern Maine Periodontal Assoc Pa - NPI 1295828069
Southern Maine Periodontal Assoc Pa is a Periodontics in Portland, Maine. Southern Maine Periodontal Assoc Pa practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Southern Maine Periodontal Assoc Pa is 1295828069. The last update date is 2020-08-22.
Southern Maine Periodontal Assoc Pa'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 Southern Maine Periodontal Assoc Pa is 276 Canco Rd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Maine Periodontal Assoc Pa |
|---|---|
| Address | 276 Canco Rd, Portland, Maine |
| Phone Number | 2077801822 |
| Fax Number | 2077806022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Theriault M Denise |
| Credentials | DMD |
| Telephone Number | 2077801922 |
NPI Number Detail
| NPI Number | 1295828069 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 276 Canco Rd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4103 |
| 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 identification code issued to Southern Maine Periodontal Assoc Pa by the Centers for Medicare & Medicaid Services?
The Southern Maine Periodontal Assoc Pa has been assigned the NPI (National Provider Identifier) 1295828069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Southern Maine Periodontal Assoc Pa located?
The Southern Maine Periodontal Assoc Pa is located at 276 Canco Rd, Portland, ME 4103.
What is Southern Maine Periodontal Assoc Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern Maine Periodontal Assoc Pa is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date was the 1295828069 assigned to Southern Maine Periodontal Assoc Pa?
The Southern Maine Periodontal Assoc Pa was issued its 1295828069 on 2006-10-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Southern Maine Periodontal Assoc Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southern Maine Periodontal Assoc Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1720081763
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