| Northeast Periodoantal Associates | |
|
20 Penn Plaza, Suite 32 Bangor ME 04401 | |
| (207) 941-2300 | |
| (207) 941-9683 |
| Full Name | Northeast Periodoantal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 20 Penn Plaza, Suite 32, Bangor, Maine |
| Authorized Official Name and Position | Laura Reidy (PERIODONTIST) |
| Authorized Official Contact | 2079412300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Periodoantal Associates 20 Penn Plaza, Suite 32 Bangor ME 04401 Ph: (207) 941-2300 | Northeast Periodoantal Associates 20 Penn Plaza, Suite 32 Bangor ME 04401 Ph: (207) 941-2300 |
| NPI Number | 1396967824 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396967824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 3092 (Maine) | Primary |
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