207 Periodontics, Pllc

Specialty details in registry · Portland, ME

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At a glance

595 Brighton Ave, Portland, ME 04102-2322

NPPES record updated Feb 25, 2022. Public records can lag behind changes at a practice.

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Practice location

595 Brighton Ave
Portland, ME 04102-2322

Professional details: NPI, taxonomy & registry record

NPI1629724877

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223P0300X
Enumeration date: Feb 25, 2022
Record updated: Feb 25, 2022

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223P0300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

595 Brighton Ave
Portland, ME 04102-2322

Phone: (207) 774-1471
Fax: (207) 774-1472

Mailing address

595 BRIGHTON AVE

PORTLAND, ME 041022322

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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