Individual provider · Type 1 NPI

Denise M. Theriault, DMD

Periodontics · Portland, ME

NPI number 1609098425 Active

Practice location

276 Canco Rd
Portland, ME 04103-4351

Call (207) 780-1822 Map

Fax (207) 780-6022

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X3390 (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.

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About NPI 1609098425

Denise M. Theriault, DMD's National Provider Identifier is 1609098425, issued on May 2, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Portland, ME. The record was last updated on Jul 8, 2007.