Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Penobscot Valley Dermatology, PA

Organization Specialist · NPI 1952536880

Penobscot Valley Dermatology, PA provides Specialist services 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.

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Practice location Address checks out

90 Ridgewood Dr
Bangor, ME 04401-2652 Not confirmed with CMS for 17 years — call before visiting
Phone: (207) 942-0669
Fax: (207) 947-3143
Show map & directions

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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