Individual provider · Type 1 NPI
Robert Walsh
Oral and Maxillofacial Surgery (Dentist) · Portland, ME
NPI number
1346745106
Active
Practice location
750 Stevens Ave
Portland, ME 04103-2623
Mailing address
131 Johnson Rd
Portland, ME 04102-1988
Other practice locations
- 131 Johnson Rd, Portland, ME 04102-1988 · (207) 774-2611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DEN4948 (ME) |
Oral and Maxillofacial Surgery (Dentist): 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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Portland
- Gregory V. Sarka, DDS, MDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1043200868
- Meaghan Bradley, DMDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1225533359
- Kristopher Cooper, DMD, MDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1265814784
- Angela Michelle Illuzzi-Russo, DDSOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1811041726
About NPI 1346745106
Robert Walsh's National Provider Identifier is 1346745106, issued on Mar 26, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, ME. The record was last updated on Jul 21, 2022.