William Atherton Bagley in Lewiston - Oral And Maxillofacial Pathology

William Atherton Bagley - NPI 1255351664

William Atherton Bagley is a Oral And Maxillofacial Pathology in Lewiston, Maine. William Atherton Bagley practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for William Atherton Bagley is 1255351664. The last update date is 2008-09-02.

William Atherton Bagley's current location address is 369 Main St, Lewiston, Maine. You can contact this provider via phone number 2077820044 and fax number 2077820343. The mailing address for William Atherton Bagley is 369 Main St, Lewiston, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name William Atherton Bagley
Address 369 Main St, Lewiston, Maine
Phone Number 2077820044
Fax Number 2077820343
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1255351664
Provider Enumeration Date 2006-07-20
Last Updated Date 2008-09-02

Provider Mailing Address Detail

Address 369 Main St
City Lewiston
State Maine (ME)
Post Code 42407030
Phone Number 2077820044
Fax Number 2077820343

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No 2324
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
106290000 ME --

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FAQs about William Atherton Bagley

What is the unique identifier code issued to William Atherton Bagley by the Centers for Medicare & Medicaid Services (CMS)?

The William Atherton Bagley has been assigned the NPI (National Provider Identifier) 1255351664. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where William Atherton Bagley is physically located?

The William Atherton Bagley is situated at the following address: 369 Main St, Lewiston, ME 42407030.

What is William Atherton Bagley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for William Atherton Bagley is Oral And Maxillofacial Pathology, and the taxonomy code that classifies this field of practice is 1223P0106X.

On what date did the William Atherton Bagley receive its 1255351664 assignment from the Centers for Medicare & Medicaid Services?

The William Atherton Bagley was assigned its 1255351664 by the Centers for Medicare & Medicaid Services on 2006-07-20.

As of what date were the details pertaining to William Atherton Bagley last refreshed?

The information related to the William Atherton Bagley, including its address, specialty, and other relevant details, was last updated on 2008-09-02.

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