Corey and Then PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

COREY AND THEN PA

Practice address

254 Western Ave
South Portland, ME 04106-2410

Phone

(207) 774-5527

Fax

(207) 780-1188

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jon B Corey, DMD,PA

Title

President

Phone

(207) 774-5527

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811010309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062410",
            "telephone_number": "207-774-5527",
            "fax_number": "207-780-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 WESTERN AVE",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062410",
            "telephone_number": "207-774-5527",
            "fax_number": "207-780-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY AND THEN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COREY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD,PA"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Christine Cooper, AGNP-C
• Christina Marie Coppola, OTR/L
• Lisa Ann Coppola, LMHC, LCPC
• June Coravos, LCPC,LADC,CCS
• Corecover, LLC
• John Bede Corey, DMD PA
• Susan Haskell Correia
• Catherine Audrey Coslett, CADC
• Counseling With Yu LLC
• Sarah Couture, PA

• Periodontics in South Portland, ME
• Providers in South Portland, ME by specialty
• Periodontics in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.