| Corey And Then Pa | |
|
254 Western Ave South Portland ME 04106-2410 | |
| (207) 774-5527 | |
| (207) 780-1188 |
| Full Name | Corey And Then Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 254 Western Ave, South Portland, Maine |
| Authorized Official Name and Position | Jon B Corey (PRESIDENT) |
| Authorized Official Contact | 2077745527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey And Then Pa 254 Western Ave South Portland ME 04106-2410 Ph: (207) 774-5527 | Corey And Then Pa 254 Western Ave South Portland ME 04106-2410 Ph: (207) 774-5527 |
| NPI Number | 1811010309 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811010309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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