SOUTHERN MAINE PERIODONTAL ASSOC PA is a periodontics dentist in Portland, ME. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. SOUTHERN MAINE PERIODONTAL ASSOC PA NPI is 1295828069. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Denise M Theriault Dmd.
The provider's business location address is:
276 CANCO RD
PORTLAND, ME
ZIP 04103
Phone: (207) 780-1822
Fax: (207) 780-6022
The provider's authorized official is Denise M Theriault .
The authorized official title is Owner and has the following contact phone number (207) 780-1922.
The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.