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Southern Maine Periodontal Assoc PA

Periodontics in Portland, ME · enumerated 2006 · authorized official Denise Theriault, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295828069

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Maine Periodontal Assoc PA
Other name <Unavail>
Practice address 276 Canco Rd, Portland, ME, 04103
Phone (207) 780-1822
Fax (207) 780-6022
Enumeration date Oct 2, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223P0300X Periodontics Dental Providers · License 3390 (ME) Primary

Authorized official

Name Denise Theriault
Title Owner
Phone (207) 780-1922

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southern Maine Periodontal Assoc PA?
NPPES lists Denise Theriault (Owner) as the authorized official for this organization.
What is the NPI number for Southern Maine Periodontal Assoc PA?
The NPI for Southern Maine Periodontal Assoc PA is 1295828069, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.