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: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About NORTHEAST PERIODOANTAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Northeast Periodoantal Associates, a provider established in Bangor, Maine operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1396967824 assigned on May 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 3092 (ME). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Laura Reidy D.m.d. (Periodontist)

NPI
1396967824 Verify this NPI
Provider Name
NORTHEAST PERIODOANTAL ASSOCIATES
Entity Type
Organization
Location Address
20 PENN PLAZA, SUITE 32 BANGOR, ME 04401
Location Phone
(207) 941-2300
Location Fax
(207) 941-9683
Mailing Address
20 PENN PLAZA, SUITE 32 BANGOR, ME 04401
Mailing Phone
(207) 941-2300
Mailing Fax
(207) 941-9683
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Northeast Periodoantal Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
3092
License State
ME
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAURA REIDY D.M.D.

Authorized Official Title
PERIODONTIST
Authorized Official Phone
(207) 941-2300

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396967824, enumerated as an "organization" on May 03, 2007.

The provider is located at 20 PENN PLAZA, SUITE 32 BANGOR, ME 04401 and the phone number is (207) 941-2300.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.