Organization
COREY AND THEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON B COREY DMD,PA (PRESIDENT)
(207) 774-5527
Entity
Organization
Contact information
Practice address
254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
(207) 774-5527
(207) 780-1188
Mailing address
254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
(207) 774-5527
(207) 780-1188
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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