Theriault, Denise M
Theriault, Denise M is an individual health care provider with primary practice located at 276 Canco Rd , Portland ME 04103-4351. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Theriault, Denise M can be contacted via phone (207) 780-1822.Contact Information
Primary practice address
276 Canco Rd
Portland ME 04103-4351
Phone: (207) 780-1822
Fax: (207) 780-6022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 3390 | Maine |
Profile Details
| NPI number | 1609098425 |
|---|---|
| LBN Legal business name | Theriault, Denise M |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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