DR. PETER RENE THEN (NPI# 1003986589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003986589 |
| Entity Type | Individual |
| Full Name | DR. PETER RENE THEN |
| Credential | DMD DR MED DENT |
| Practice Address |
254 Western Avenue South Portland ME 04106 |
| Mailing Address |
19 Vaill Point Road Yarmouth ME 04096 |
| Practice Telephone | 2077745527 |
| Practice Fax Number | 2077801188 |
| Mailing Telephone | 2078463281 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3628 | ME | Dental Providers |
| Street Address |
254 WESTERN AVENUE |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043378284 | John Bede Corey | Dentist | 254 Western Avenue, South Portland, ME 04106 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205351699 | Adam Saltz | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2017-08-07 |
| 1811010309 | Corey and Then Pa | Dentist | 254 Western Ave, South Portland, ME 04106-2410 | 2007-04-09 |
| 1043378284 | John Bede Corey | Dentist | 254 Western Avenue, South Portland, ME 04106 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730632266 | Samar Shaikh | Dentist | 716 Stevens Ave # 204, Portland, ME 04103 | 2016-08-02 |
| 1386866598 | Andrew L. Allen | Dentist | 117 Pleasant St, Brunswick, ME 04011-2217 | 2007-05-03 |
| 1396967824 | Northeast Periodoantal Associates | Dentist | 20 Penn Plaza, Suite 32, Bangor, ME 04401 | 2007-05-03 |
| 1750502159 | Katherine Dunn Wilson | Dentist | 74 State Rd Ste 102, Kittery, ME 03904-1562 | 2007-05-01 |
| 1609943844 | Michael R Nawfel | Dentist | 46b First Park Drive, Oakland, ME 04963 | 2006-11-30 |
| 1295828069 | Southern Maine Periodontal Assoc Pa | Dentist | 276 Canco Rd, Portland, ME 04103 | 2006-10-02 |
| 1609979012 | Jeffrey Ian Saltz | Dentist | 74 State Rd, Suite 102, Kittery, ME 03904-1564 | 2006-09-07 |
| 1831101625 | Jeffrey Alan Brackett | Dentist | 243 Us Rte #1, Ste #1, Scarbono, ME 04074 | 2006-08-12 |
| 1649260936 | Laura Ann Reidy | Dentist | 20 Penn Plz, Suite 32, Bangor, ME 04401-3620 | 2005-10-27 |
| 1699126250 | Anuja Doshi | Dentist | 716 Stevens Ave, Portland, ME 04103-2656 | 2016-06-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
Please comment or provide details below to improve the information on DR. PETER RENE THEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.