DR. LAURA ANN REIDY


Address: 20 Penn Plz, Suite 32, Bangor, ME 04401-3620
Phone: 2079412300

DR. LAURA ANN REIDY (NPI# 1649260936) 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) 1649260936
Entity Type Individual
Full Name DR. LAURA ANN REIDY
Credential D.M.D.
Practice Address 20 Penn Plz
Suite 32
Bangor
ME 04401-3620
Practice Telephone 2079412300
Practice Fax Number 2079419683
Mailing Telephone 2079412300
Mailing Fax Number 2079419683
Enumeration Date 2005-10-27
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
3092 ME Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ME BC/BS PIN NUMBER 003734 01

Other Providers LAURA REIDY

NPI Name Taxonomy Address Enumeration
1902964554 Laura Robin Reidy Physician Assistant 25 Tamarack Ave, Danbury, CT 06811-4829 2006-12-05

Office Location

Street Address 20 PENN PLZ
SUITE 32
City BANGOR
State ME
Zip Code 04401-3620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558552489 Dr Stephen C Paul Dentist 20 Penn Plz, Suite 31, Bangor, ME 04401-3620 2007-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184222523 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 110 Longview Dr, Bangor, ME 04401 2020-10-16
1033737937 Daniel John Phulman Counselor 202 Exchange Street, Bangor, ME 04401 2020-07-08
1770104358 Elizabeth Sarah Caruson Physician Assistant 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 2020-05-05
1053961300 Erika Dean Occupational Therapist 84 Sylvan Rd., Bangor, ME 04401 2019-09-18
1942853635 Wildworks Therapy, Pllc Occupational Therapist 123 Mt Hope Ave, Bangor, ME 04401 2019-07-22
1255999173 Jessica Arbisi Physician Assistant 1 Northeast Drive, Bangor, ME 04401 2019-06-05
1699232041 Ehab Khamis Elhefnawi Anesthesiology Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 2019-02-21
1477028884 Zvorufura Makura Otolaryngology 885 Union Street, Ste 145, Bangor, ME 04401 2018-10-11
1255826541 Lindsey M Fields Optometrist 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 2018-06-28
1992211338 Debra J Mcintyre Counselor 157 Park Street, #5, Bangor, ME 04401 2017-12-21
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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
1396967824 Northeast Periodoantal Associates Dentist 20 Penn Plaza, Suite 32, Bangor, ME 04401 2007-05-03
1649214859 Michael P Goldberg Dentist 700 Mount Hope Ave, Suite 410, Bangor, ME 04401-5691 2006-06-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730632266 Samar Shaikh Dentist 716 Stevens Ave # 204, Portland, ME 04103 2016-08-02
1386866598 Andrew L. Allen Dentist 117 Pleasant St, Brunswick, ME 04011-2217 2007-05-03
1750502159 Katherine Dunn Wilson Dentist 74 State Rd Ste 102, Kittery, ME 03904-1562 2007-05-01
1609943844 Michael R Nawfel Dentist 46b First Park Drive, Oakland, ME 04963 2006-11-30
1003986589 Peter Rene Then Dentist 254 Western Avenue, South Portland, ME 04106 2006-11-09
1295828069 Southern Maine Periodontal Assoc Pa Dentist 276 Canco Rd, Portland, ME 04103 2006-10-02
1609979012 Jeffrey Ian Saltz Dentist 74 State Rd, Suite 102, Kittery, ME 03904-1564 2006-09-07
1831101625 Jeffrey Alan Brackett Dentist 243 Us Rte #1, Ste #1, Scarbono, ME 04074 2006-08-12
1205351699 Adam Saltz Dentist 254 Western Ave, South Portland, ME 04106-2410 2017-08-07
1699126250 Anuja Doshi Dentist 716 Stevens Ave, Portland, ME 04103-2656 2016-06-24
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Competitor

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City BANGOR
Zip Code 04401

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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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