Reidy, Laura Ann
Reidy, Laura Ann is an individual health care provider with primary practice located at 20 Penn Plz Suite 32, Bangor ME 04401-3620. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Reidy, Laura Ann can be contacted via phone (207) 941-2300.Contact Information
Primary practice address
20 Penn Plz Suite 32
Bangor ME 04401-3620
Phone: (207) 941-2300
Fax: (207) 941-9683
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 3092 | Maine |
Profile Details
NPI number | 1649260936 |
---|---|
LBN Legal business name | Reidy, Laura Ann |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 27th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649260936 | NPPES |
Maine | Other | 003734 | BC/BS PIN NUMBER |
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