Individual provider · Type 1 NPI
John Bede Corey, DMD PA
Periodontics · South Portland, ME
NPI number
1043378284
Active
Practice location
254 Western Avenue
South Portland, ME 04106
Fax (207) 780-1188
Mailing address
36 Carroll Street
Falmouth, ME 04105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 2284 (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 1043378284
John Bede Corey, DMD PA's National Provider Identifier is 1043378284, issued on Dec 4, 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.