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NORTHEAST PERIODOANTAL ASSOCIATES
NPI 1396967824
Dentist - Periodontics in Bangor, ME

Active since May 03, 2007
20 PENN PLAZA, SUITE 32, BANGOR, ME 04401(207) 941-2300(207) 941-9683 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Periodoantal Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST PERIODOANTAL ASSOCIATES (NPI 1396967824) is a healthcare organization registered as a periodontics in Bangor, Maine and active in the NPI registry since May 2007. The organization lists Laura Reidy, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1396967824
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameNORTHEAST PERIODOANTAL ASSOCIATES
Location Address20 PENN PLAZA, SUITE 32Bangor, ME 04401
Mailing Address20 Penn Plaza, Suite 32Bangor, ME 04401 · (207) 941-2300 · Fax (207) 941-9683
Phone(207) 941-2300
Fax(207) 941-9683
Organization SubpartNo
Authorized OfficialLaura ReidyPeriodontist · (207) 941-2300
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396967824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ME · 3092
Definition
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.
20 PENN PLAZA, SUITE 32, Bangor, ME 04401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Periodoantal Associates's NPI number?

The NPI number for Northeast Periodoantal Associates is 1396967824. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Northeast Periodoantal Associates located?

Northeast Periodoantal Associates is located at 20 Penn Plaza, Suite 32, Bangor, ME 04401. The listed phone number is (207) 941-2300.

What is Northeast Periodoantal Associates's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Northeast Periodoantal Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.