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NPI · 1295828069 · NPPES-sourced

Southern Maine Periodontal Assoc PA

ActivePeriodontics
NPI Number
1295828069
Type 2 · Organisation
Taxonomy Code
1223P0300X
Contact
(207) 780-1822
License ME · 3390
Last Updated
About 5 years ago (Aug 2020)
Enumerated 2006-10-02
Primary practice addressME · 04103
276 Canco RdPortland, ME 04103
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About this NPIWhat this record shows.

NPI 1295828069 is registered to Southern Maine Periodontal Assoc PA, a healthcare organisation classified as "Periodontics" and located at 276 Canco Rd in Portland, Maine. The organisation's authorised official is Denise Theriault. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2006-10-02
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Southern Maine Periodontal Assoc PA accepts. To confirm in-network status with your specific health plan, contact Southern Maine Periodontal Assoc PA directly at (207) 780-1822.

Frequently asked

Yes. NPI 1295828069 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Periodontics is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (207) 780-1822.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Southern Maine Periodontal Assoc PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223P0300X
Last updated2020-08
Enumerated2006-10-02
StatusActive
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