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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN MAINE PERIODONTAL ASSOC PA

Active Organization

SOUTHERN MAINE PERIODONTAL ASSOC PA is a Periodontology organization located in PORTLAND, Maine. NPI 1295828069 is currently active in the NPPES registry. Verify at CMS.

Periodontology · PORTLAND, ME

Registration Details

NPI Number
1295828069
Provider Type
Organization
NPI Issued
Oct 2, 2006 (19.835610957207 yrs)
Last Updated
Aug 22, 2020
License
3390 (ME)

Practice Information

Address
276 CANCO RD
PORTLAND, ME, 04103
Browse ME providers · Browse ZIP 04103
Phone
2077801822
Fax
2077806022
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Organizations in PORTLAND, ME

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.