Periodontal Associates

LBN: Periodontal Associates
Periodontal Associates is an health care organization with primary practice located at 612 Brighton Ave , Portland ME 04102-2359. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontal Associates can be contacted via phone (207) 772-7459, or through Gordon, George D via phone (207) 772-7459.

Contact Information

Primary practice address
612 Brighton Ave Portland ME 04102-2359
Fax: (207) 874-6460
Website:
Authorized official contact:
Name: Gordon, George D Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2204 Maine

Profile Details

NPI number 1932329943
LBN Legal business name Periodontal Associates
DBA Doing business as
Authorized official Gordon, George D Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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