Dr. Peter Rene Then
Periodontist
254 Western Avenue
South Portland
, Maine 04106
Dr. Peter Rene Then
Periodontist
254 Western Avenue
South Portland
, Maine 04106
(207) 846-3281
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Peter Rene Then
- 19 Vaill Point Road
- Yarmouth, ME
- Zip : 04096
- Phone : (207) 846-3281
Second Address
- Dr. Peter Rene Then
- 254 Western Avenue
- South Portland, ME
- Zip : 04106
- Fax : (207) 780-1188
- Phone : (207) 774-5527
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 3628 | ME |
National Provider Identifier
| NPI | 1003986589 |
|---|---|
| Provider Name | Dr. Peter Rene Then |
| First Address | Yarmouth, ME 04096 |
| Second Address | South Portland, ME 04106 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.