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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LAURA ANN REIDY D.M.D.
NPI 1649260936
Dentist - Periodontics in Bangor, ME

Active since October 27, 2005Opted out of Medicare · through Feb 12, 2028
20 PENN PLZ, SUITE 32, BANGOR, ME 04401(207) 941-2300(207) 941-9683 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Laura Ann Reidy D.m.d. NPPES

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

DR. LAURA ANN REIDY D.M.D. (NPI 1649260936) is an individual periodontics provider in Bangor, Maine, licensed in Maine (3092) and active in the NPI registry since October 2005. She has opted out of Medicare through February 12, 2028 and remains eligible to order and refer and is a graduate of Tufts University School Of Medicine (1985).

NPPES Registry Identity

NPI1649260936
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. LAURA ANN REIDYCredential: D.M.D.
Location Address20 PENN PLZ, SUITE 32Bangor, ME 04401-3620
Mailing Address20 Penn Plz, Suite 32Bangor, ME 04401-3620 · (207) 941-2300 · Fax (207) 941-9683
Phone(207) 941-2300
Fax(207) 941-9683
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1985
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1649260936 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 PLZ, Bangor, ME 04401
Open in Google Maps ↗

Other Identifiers 1

Other003734ME · Bc/bs Pin Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Laura Ann Reidy D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 12, 2018 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2018
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR STEPHEN C PAUL
Dentist (Orthodontics and Dentofacial Orthopedics)
20 PENN PLZ, SUITE 31
BANGOR, ME 04401
Penobscot County (207) 942-8894

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 Laura Reidy's NPI number?

The NPI number for Laura Reidy is 1649260936. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Laura Reidy located?

Laura Reidy practices at 20 Penn Plz Suite 32, Bangor, ME 04401. The listed phone number is (207) 941-2300.

What is Laura Reidy's specialty?

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

Is Laura Reidy enrolled in Medicare?

No. Laura Reidy has opted out of Medicare through February 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Laura Reidy was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.