OrganizationActive
Northeast Periodoantal Associates
NPI 1396967824 · Periodontics · Bangor, ME
Northeast Periodoantal Associates is a Periodontics organization in Bangor, ME (NPI 1396967824).
Provider details
- NPI number
- 1396967824
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Laura Reidy, Periodontist(207) 941-2300
- License
- 3092 (ME)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20 Penn Plaza, Suite 32
Bangor, ME 04401
Phone: (207) 941-2300
Fax: (207) 941-9683
Street-level locationGet directions
Mailing address
20 Penn Plaza, Suite 32
Bangor, ME 04401
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Periodoantal Associates's NPI number?
- Northeast Periodoantal Associates's National Provider Identifier (NPI) is 1396967824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Periodoantal Associates?
- Northeast Periodoantal Associates is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Northeast Periodoantal Associates located?
- Northeast Periodoantal Associates's practice location on file with NPPES is 20 Penn Plaza, Suite 32, Bangor, ME 04401.
- What is Northeast Periodoantal Associates's phone number?
- The practice phone number listed in the NPPES registry for Northeast Periodoantal Associates is (207) 941-2300.
- Who is the authorized official for Northeast Periodoantal Associates?
- The authorized official listed on Northeast Periodoantal Associates's NPPES record is Laura Reidy, Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Periodoantal Associates's NPI active?
- Yes — Northeast Periodoantal Associates's NPI (1396967824) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.