Corey and Then PA
NPI #1811010309 in South Portland, Maine
Provider Information
- NPI Number
- 1811010309
- Entity Type
- Organization
- Organization Name
- Corey and Then PA
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 254 WESTERN AVE
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-2410
- Phone
- (207) 774-5527
Authorized Official
- Name
- DR. JON B COREY, DMD,PA
- Title
- PRESIDENT
- Phone
- (207) 774-5527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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