DR. DENISE M THERIAULT


Address: 276 Canco Rd, Portland, ME 04103-4351
Phone: 2077801822

DR. DENISE M THERIAULT (NPI# 1609098425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609098425
Entity Type Individual
Full Name DR. DENISE M THERIAULT
Credential D.M.D.
Practice Address 276 Canco Rd
Portland
ME 04103-4351
Practice Telephone 2077801822
Practice Fax Number 2077806022
Mailing Telephone 2077801822
Mailing Fax Number 2077806022
Enumeration Date 2007-05-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
3390 ME Dental Providers

Office Location

Street Address 276 CANCO RD
City PORTLAND
State ME
Zip Code 04103-4351

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1174715197 Jean M Pacewic Dentist 276 Canco Rd, Portland, ME 04103-4351 2007-08-14
1427254770 Edward G Sebok Dentist 276 Canco Rd, Granite Heights, Portland, ME 04103 2007-06-25
1326169004 James E Jackson Dentist 276 Canco Rd, Portland, ME 04103-4351 2007-04-02
1649305822 Francesco Antonio Musciano Dentist 276 Canco Rd, Portland, ME 04103-4351 2007-02-21
1720128705 Alan Joseph Hickey Dentist 276 Canco Rd, Portland, ME 04103-4351 2007-02-07
1518007509 Alan David Newton Dentist 276 Canco Rd, Portland, ME 04103 2007-02-07
1487713905 Lawrence Jacoby Dentist 276 Canco Rd, Portland, ME 04103-4351 2006-12-08
1104984970 Michael Bennett Dentist 276 Canco Rd, Portland, ME 04103-4351 2006-12-05
1912065798 Mary Berube Leblanc Dentist 276 Canco Rd, Portland, ME 04103-4351 2006-12-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790302677 Hope for All Community Services LLC Community/Behavioral Health 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 2020-06-26
1982251435 Hope Home Healthcare, LLC Home Health 68 Bishop St Unit 3 #2, Portland, ME 04103 2019-08-20
1992367023 Care for Everyone In Home Supportive Care 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 2019-06-28
1093373458 Emanuel Nistrian Student in an Organized Health Care Education/Training Program Une, 716 Stevens Ave., Portland, ME 04103 2019-05-31
1023676483 Robert Montague Student in an Organized Health Care Education/Training Program University of New England, 716 Stevens Ave, Portland, ME 04103 2019-05-31
1154838027 Kimberly Therriault Behavior Technician 527 Ocean Ave Ste 19, Portland, ME 04103 2018-01-02
1285147918 Teresa Maalouf Community Health Worker 23 Cambridge St., Portland, ME 04103 2017-11-16
1578082244 Darcelle Kay Stillman Occupational Therapist 90 Dorothy St, Portland, ME 04103 2017-09-14
1821524943 Engility Enterprises LLC Case Management 1 Coast Lane, Portland, ME 04103 2017-05-10
1720524283 Hannah Rose Kazilionis Counselor 257 Deering Ave # 204, Portland, ME 04103 2017-01-09
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1730632266 Samar Shaikh Dentist 716 Stevens Ave # 204, Portland, ME 04103 2016-08-02
1730472986 Wilson D Lee Dentist 315 Nw Lost Springs Ter, #401, Portland, OR 97229-6444 2011-05-20
1184954422 Kamran Haghighat Bds Ms PC Dentist 833 Sw 11th Ave Ste 1020, Portland, OR 97205-2124 2010-01-08
1225292121 Harjit Singh Sehgal Dentist 2730 Sw Moodey Ave, Clsb-5n034, Portland, OR 97201 2008-07-10
1467516211 Chirgwin & Herriges, LLC Dentist 1130 Se 122nd Ave, Portland, OR 97233-1112 2006-12-19
1568534519 Trang N Pham Dentist 10356 Ne Wasco St, Portland, OR 97220 2006-11-14
1811086887 Winthrop B. Carter Dentist 611 Sw Campus Drive, Ohsu School of Dentistry, Sd 177, Portland, OR 97239 2006-10-11
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1598702151 Angela Blizzard Dentist 7107 Sw Macadam Ave, Portland, OR 97219-3075 2006-06-01
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 04103

Improve Information

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Dataset Information

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.

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