| Periodontal Associates | |
|
612 Brighton Ave Portland ME 04102-2359 | |
| (207) 772-7459 | |
| (207) 874-6460 |
| Full Name | Periodontal Associates |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 612 Brighton Ave, Portland, Maine |
| Authorized Official Name and Position | George D Gordon (PRESIDENT) |
| Authorized Official Contact | 2077727459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontal Associates 612 Brighton Ave Portland ME 04102-2359 Ph: (207) 772-7459 | Periodontal Associates 612 Brighton Ave Portland ME 04102-2359 Ph: (207) 772-7459 |
| NPI Number | 1932329943 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932329943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2204 (Maine) | Primary |
Md Portland Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Middle St # A-c2, Portland, ME 04101 Phone: 207-307-1793 | |
Mmc Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-871-4078 | |
Juno Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave Ste A, Portland, ME 04102 Phone: 207-773-2150 | |
Coastal Family Dental P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Auburn Street, Portland, ME 04103 Phone: 207-797-7433 Fax: 207-797-7720 | |
Aspen Dental Of Maine Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Brighton Ave, Portland, ME 04102 Phone: 207-773-2150 | |
Arc Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Ave, Portland, ME 04102 Phone: 207-772-4359 | |
Brighton Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 Brighton Avenue, Suite 1, Portland, ME 04102 Phone: 207-772-4359 Fax: 207-772-4990 |