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Contact Information

MID MAINE ORAL SURGERY
244 KENNEDY MEMORIAL DR
WATERVILLE, ME04901-4538
 Phone: 207-873-0117
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for MID MAINE ORAL SURGERY

NPI Number 1336896489
LBN Legal business name MID MAINE ORAL SURGERY
Authorized official LUKE L'HEUREUX - (ORAL SURGEON)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/08/2022
Last updated 03/25/2022 - About 4 years ago
Identifiers
CT Medicaid 1780995712
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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