Individual
DR. JOHN BEDE COREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD PA
Contact information
Practice address
254 WESTERN AVENUE, SOUTH PORTLAND, ME 04106
(207) 774-5527
(207) 780-1188
Mailing address
36 CARROLL STREET, FALMOUTH, ME 04105
(207) 781-4809
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2284
ME
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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