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
Fax: (207) 941-9683
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649260936 NPPES
Maine Other 003734 BC/BS PIN NUMBER

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