Organization
DOWNEAST PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAH THIBAULT (CHIEF OPERATIONS OFFICER)
(520) 276-2220
Entity
Organization
Contact information
Practice address
888 BRIGHTON AVE, PORTLAND, ME 04102-1004
(207) 772-4111
(207) 761-6953
Mailing address
716 N COUNTRY CLUB RD, TUCSON, AZ 85716-4591
(520) 326-8516
(520) 326-1012
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
08/11/2025
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