Whalio Doctors

NPI 1003986589

Peter Rene Then, DMDDRMEDDENT

Practitioner Periodontics South Portland, ME

Practice location

Address
254 Western Avenue, South Portland, ME 04106
Phone
(207) 774-5527
Fax
(207) 780-1188
Mailing address
19 Vaill Point Road, Yarmouth, ME 04096

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence 3628 (ME)

Registry record

NPI
1003986589
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.