Search › Maine › 1223P0300X
Denise Theriault, D.M.D
NPI 1609098425 · on the registry since 2007
Practice
- Address
- 276 Canco Rd
Portland, ME 04103 - Phone
- (207) 780-1822
- Fax
- (207) 780-6022
- Organisation at this address
- Southern Maine Periodontal Assoc Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine