Denise M Theriault Dmd

LBN: Southern Maine Periodontal Assoc Pa
Denise M Theriault Dmd is an health care organization with primary practice located at 276 Canco Rd , Portland ME 04103. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Southern Maine Periodontal Assoc Pa can be contacted via phone (207) 780-1822, or through Theriault, Denise M via phone (207) 780-1922.

Contact Information

Primary practice address
276 Canco Rd Portland ME 04103
Phone: (207) 780-1822
Fax: (207) 780-6022
Website:
Map and Directions
Authorized official contact:
Name: Theriault, Denise M Doctor of Dental Medicine (DMD)
Phone: (207) 780-1922

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3390 Maine

Profile Details

NPI number 1295828069
LBN Legal business name Southern Maine Periodontal Assoc Pa
DBA Doing business as Denise M Theriault Dmd
Authorized official Theriault, Denise M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
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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