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DR. DENISE M THERIAULT D.M.D.
NPI 1609098425
Dentist - Periodontics in Portland, ME

Active since May 02, 2007
276 CANCO RD, PORTLAND, ME 04103(207) 780-1822(207) 780-6022 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Denise M Theriault D.m.d. NPPES

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

DR. DENISE M THERIAULT D.M.D. (NPI 1609098425) is an individual periodontics provider in Portland, Maine, licensed in Maine (3390) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609098425
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. DENISE M THERIAULTCredential: D.M.D.
Location Address276 CANCO RDPortland, ME 04103-4351
Mailing Address276 Canco RdPortland, ME 04103-4351 · (207) 780-1822 · Fax (207) 780-6022
Phone(207) 780-1822
Fax(207) 780-6022
Sole ProprietorNo
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609098425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in ME · 3390
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.
276 CANCO RD, Portland, ME 04103
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL BENNETT DMD
Dentist
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 874-1025
AUDREY STACK DDS
Dentist
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 874-1025
SOUTHERN MAINE PERIODONTAL ASSOC PA
Dentist (Periodontics)
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 780-1822
JAMES E JACKSON DMD
Dentist
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 874-1025
EDWARD G SEBOK DMD
Dentist (Endodontics)
276 CANCO RD, GRANITE HEIGHTS
PORTLAND, ME 04103
Cumberland County (207) 772-7431
LAWRENCE JACOBY DMD, MPH
Dentist
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 874-1025
DR. ALAN DAVID NEWTON DMD
Dentist (Prosthodontics)
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 773-6177
DR. FRANCESCO ANTONIO MUSCIANO DDS
Dentist (Prosthodontics)
276 CANCO RD
PORTLAND, ME 04103
Cumberland County (207) 773-6177

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 Denise Theriault's NPI number?

The NPI number for Denise Theriault is 1609098425. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Denise Theriault located?

Denise Theriault practices at 276 Canco Rd, Portland, ME 04103. The listed phone number is (207) 780-1822.

What is Denise Theriault'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 Denise Theriault was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.