Organization
PETER T CYR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T CYR DMD (DENTIST)
(207) 772-4128
Entity
Organization
Contact information
Practice address
68 DEERING ST, PORTLAND, ME 04101-2212
(207) 772-4128
(207) 772-9045
Mailing address
68 DEERING ST, PORTLAND, ME 04101-2212
(207) 772-4128
(207) 772-9045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2117
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821061284
NPI TYPE 1
ME
Enumeration date
04/03/2007
Last updated
08/22/2020
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