Northeast Periodoantal Associates

NPI #1396967824 in Bangor, Maine

Provider Information

NPI Number: 1396967824
Entity Type: Organization
Organization Name: Northeast Periodoantal Associates
Primary Specialty: Dentist - Periodontics
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 20 PENN PLAZA, SUITE 32
City: Bangor
State: Maine
ZIP Code: 04401
Phone: (207) 941-2300

Authorized Official

Name: DR. LAURA REIDY, D.M.D.
Title: PERIODONTIST
Phone: (207) 941-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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