Organization
SOUTHERN MAINE PERIODONTAL ASSOC PA
Active
Other names
Denise M Theriault DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE M THERIAULT DMD (OWNER)
(207) 780-1922
Entity
Organization
Contact information
Practice address
276 CANCO RD, PORTLAND, ME 04103
(207) 780-1822
(207) 780-6022
Mailing address
276 CANCO RD, PORTLAND, ME 04103
(207) 780-1822
(207) 780-6022
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3390
ME
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up