Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Penobscot Valley Dermatology, PA

Organization Specialist · NPI 1952536880

Penobscot Valley Dermatology, PA is a Specialist in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2009.

Licensed in
ME
In the registry since
2009
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

90 Ridgewood Dr
Bangor, ME 04401-2652
Phone: (207) 942-0669
Fax: (207) 947-3143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME013153 (ME)

Record details

NPI number1952536880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Pittis — Dermatologist · (207) 942-0669
NPI enumeratedMay 21, 2009
Last updated in NPPESJune 3, 2009
Mailing address90 Ridgewood Drive, Bangor, ME 04401-2652

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