Theriault, Donald Leon

Theriault, Donald Leon is an individual health care provider with primary practice located at 595 Brighton Ave , Portland ME 04102-2322. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Theriault, Donald Leon can be contacted via phone (207) 774-1471.

Contact Information

Primary practice address
595 Brighton Ave Portland ME 04102-2322
Phone: (207) 774-1471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2974 Maine

Profile Details

NPI number 1669502795
LBN Legal business name Theriault, Donald Leon
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 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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