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

DR. DENISE M THERIAULT, D.M.D.

Active

Periodontology · PORTLAND, ME

Registration Details

NPI Number
1609098425
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2007 (18.971395204014 yrs)
Last Updated
Jul 8, 2007
License
3390 (ME)

Practice Information

Address
276 CANCO RD
PORTLAND, ME, 041034351
Browse ME providers · Browse ZIP 04103
Phone
2077801822
Fax
2077806022
Primary Specialty
Periodontology
1223P0300X

Other Periodontology Providers in PORTLAND, ME

Name Credential NPI
STEPHEN GANNETT MORSE DMD 1114085255
GEORGE DAVID GORDON DMD 1669530713
DR. DONALD LEON THERIAULT DMD 1669502795
DR. JUDITH MCCOLLUM DMD 1760697932
PADMAJA KROTHAPALLI 1174768931
DR. KARA ACHILLE DMD 1487051686
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.