Theriault, Denise M

Theriault, Denise M is an individual health care provider with primary practice located at 276 Canco Rd , Portland ME 04103-4351. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Theriault, Denise M can be contacted via phone (207) 780-1822.

Contact Information

Primary practice address
276 Canco Rd Portland ME 04103-4351
Phone: (207) 780-1822
Fax: (207) 780-6022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 3390 Maine

Profile Details

NPI number 1609098425
LBN Legal business name Theriault, Denise M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
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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