Southern Maine Oral And Maxillofacial Surgery Pa in South Portland - Oral And Maxillofacial Surgery

Southern Maine Oral And Maxillofacial Surgery Pa - NPI 1831256338

Southern Maine Oral And Maxillofacial Surgery Pa is a Oral And Maxillofacial Surgery in South Portland, Maine. Southern Maine Oral And Maxillofacial Surgery Pa practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Southern Maine Oral And Maxillofacial Surgery Pa is 1831256338. The last update date is 2020-08-22.

Southern Maine Oral And Maxillofacial Surgery Pa's current location address is 440 Western Avenue, South Portland, Maine. You can contact this provider via phone number 2077742611 and fax number 2077742613. The mailing address for Southern Maine Oral And Maxillofacial Surgery Pa is 440 Western Avenue, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Maine Oral And Maxillofacial Surgery Pa
Address 440 Western Avenue, South Portland, Maine
Phone Number 2077742611
Fax Number 2077742613
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Crawford W Richard
Credentials DMD
Telephone Number 2077742611

NPI Number Detail

NPI Number 1831256338
Provider Enumeration Date 2007-01-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 440 Western Avenue
City South Portland
State Maine (ME)
Post Code 4106
Phone Number 2077742611
Fax Number 2077742613

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about Southern Maine Oral And Maxillofacial Surgery Pa

What is the unique 10-digit identifier code issued to Southern Maine Oral And Maxillofacial Surgery Pa by the Centers for Medicare & Medicaid Services?

The Southern Maine Oral And Maxillofacial Surgery Pa has been assigned the NPI (National Provider Identifier) 1831256338 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Southern Maine Oral And Maxillofacial Surgery Pa?

The Southern Maine Oral And Maxillofacial Surgery Pa is situated at 440 Western Avenue, in the city of South Portland, state of ME, with the zip code 4106.

What is Southern Maine Oral And Maxillofacial Surgery Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Southern Maine Oral And Maxillofacial Surgery Pa is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date was the 1831256338 assigned to Southern Maine Oral And Maxillofacial Surgery Pa?

The Southern Maine Oral And Maxillofacial Surgery Pa was issued its 1831256338 on 2007-01-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Southern Maine Oral And Maxillofacial Surgery Pa most recently updated or revised?

The information pertaining to Southern Maine Oral And Maxillofacial Surgery Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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