Organization · Type 2 NPI
Southern Maine Oral and Maxillofacial Surgery PA
Oral and Maxillofacial Surgery (Dentist) · South Portland, ME
NPI number
1831256338
Active
Practice location
440 Western Avenue
South Portland, ME 04106
Fax (207) 774-2613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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 South Portland
About NPI 1831256338
Southern Maine Oral and Maxillofacial Surgery PA's National Provider Identifier is 1831256338, issued on Jan 3, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South Portland, ME. The record was last updated on Aug 22, 2020.