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Contact Information

NORTHERN MAINE ORAL & FACIAL SURGERY, PA
181 ACADEMY ST
STE 1
PRESQUE ISLE, ME04769-3178
 Phone: 207-764-6337
 Fax: 207-764-1446
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for NORTHERN MAINE ORAL & FACIAL SURGERY, PA

NPI # 1699000836
LBN Legal business name NORTHERN MAINE ORAL & FACIAL SURGERY, PA
Authorized official HENRY FORD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2009
Last updated 01/04/2011 - About 15 years ago
Identifiers
ME License # DEN3426
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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