Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONALD LEON THERIAULT, DMD
ActivePeriodontology · PORTLAND, ME
Registration Details
- NPI Number
- 1669502795
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2007 (19.12482907855 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2974 (ME)
Practice Information
- Address
-
595 BRIGHTON AVEPORTLAND, ME, 041022322Browse ME providers · Browse ZIP 04102
- Phone
- 2077741471
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| STEPHEN GANNETT MORSE | DMD | 1114085255 |
| GEORGE DAVID GORDON | DMD | 1669530713 |
| DR. DENISE M THERIAULT | D.M.D. | 1609098425 |
| 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.