Individual provider · Type 1 NPI
Peter Rene Then, DMD DR MED DENT
Periodontics · South Portland, ME
NPI number
1003986589
Active
Practice location
254 Western Avenue
South Portland, ME 04106
Fax (207) 780-1188
Mailing address
19 Vaill Point Road
Yarmouth, ME 04096
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 3628 (ME) |
Periodontics: 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.
Another provider at this address
Other periodontics providers in South Portland
About NPI 1003986589
Peter Rene Then, DMD DR MED DENT's National Provider Identifier is 1003986589, issued on Nov 9, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in South Portland, ME. The record was last updated on Jul 8, 2007.