Individual provider · Type 1 NPI

Donald Leon Theriault, DMD

Periodontics · Portland, ME

NPI number 1669502795 Active

Practice location

595 Brighton Ave
Portland, ME 04102-2322

Call (207) 774-1471 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2974 (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 1669502795

Donald Leon Theriault, DMD's National Provider Identifier is 1669502795, issued on Mar 7, 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.