PERIODONTAL ASSOCIATES
NPI 1932329943
Dentist - Periodontics in Portland, ME

Active since May 01, 2007
612 BRIGHTON AVE, PORTLAND, ME 04102(207) 772-7459(207) 874-6460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Periodontal Associates NPPES

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

PERIODONTAL ASSOCIATES (NPI 1932329943) is a healthcare organization registered as a periodontics in Portland, Maine and active in the NPI registry since May 2007. The organization lists George D Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1932329943
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES
Location Address612 BRIGHTON AVEPortland, ME 04102-2359
Mailing Address612 Brighton AvePortland, ME 04102-2359 · (207) 772-7459 · Fax (207) 874-6460
Fax(207) 874-6460
Organization SubpartNo
Authorized OfficialGeorge D GordonPresident · (207) 772-7459
Enumeration DateMay 1, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1932329943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in ME · 2204
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.

612 BRIGHTON AVE, Portland, ME 04102

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

Other Providers at the Same Location NPPES 8

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

Dentist (Periodontics)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (General Practice)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (General Practice)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dental Hygienist
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (Periodontics)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (General Practice)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist (Periodontics)
612 BRIGHTON AVE
PORTLAND, ME 04102
Dentist
612 BRIGHTON AVE
PORTLAND, ME 04102

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 Periodontal Associates's NPI number?

The NPI number for Periodontal Associates is 1932329943. It was assigned to this organization in the NPPES registry on May 1, 2007.

Where is Periodontal Associates located?

Periodontal Associates is located at 612 Brighton Ave, Portland, ME 04102. The listed phone number is (207) 772-7459.

What is Periodontal 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 Periodontal Associates was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.