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

Periodontal Associates

Organization Periodontics · NPI 1932329943

Periodontal Associates is a Periodontics in Portland, Maine. Licensed in Maine. Registered with an NPI since 2007.

Licensed in
ME
In the registry since
2007

Practice location Address checks out

612 Brighton Ave
Portland, ME 04102-2359
Phone: (207) 772-7459
Fax: (207) 874-6460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2204 (ME)

Record details

NPI number1932329943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Gordon — President · (207) 772-7459
NPI enumeratedMay 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address612 Brighton Ave, Portland, ME 04102-2359

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