ORAL & FACIAL SURGERY (NPI# 1275642456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275642456 |
| Entity Type | Organization |
| Organization Name | ORAL & FACIAL SURGERY |
| Practice Address |
885 Union St Ste. 225 Bangor ME 04401-3083 |
| Practice Telephone | 2079426620 |
| Practice Fax Number | 2079426264 |
| Mailing Telephone | 2079426620 |
| Mailing Fax Number | 2079426264 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | MRS. SHARON K RING (OFFICE MANAGER) |
| Authorized Official Telephone | 2079426620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3522 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 133160000 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ORAL & FACIAL SURGERY CENTER | 7932 W Sand Lake Rd Ste 109, Orlando, FL 32819-7299 |
| Oregon Corporations, Companies and Business Names | ORAL & FACIAL SURGERY, P.C. | 6125 Ne Cornell Rd #320, Hillsboro, OR 97124 |
| Street Address |
885 UNION ST STE. 225 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707275 | Richard Peter Lenz | Otolaryngology | 885 Union St, Ste 145, Bangor, ME 04401-3083 | 2005-08-16 |
| 1598137754 | Vna Home Health & Hospice | Home Health | 885 Union St, Suite 220, Bangor, ME 04401 | 2015-10-28 |
| 1255708194 | Workhealth, LLC | Clinic/Center | 885 Union St, Suite 215, Bangor, ME 04401-3083 | 2015-08-26 |
| 1881866085 | Macinnes Optical | Technician/Technologist | 885 Union St, Ste 140, Bangor, ME 04401-3082 | 2008-03-27 |
| 1306913231 | Howard J Jones | Internal Medicine | 885 Union St, Suite 215, Bangor, ME 04401-3083 | 2006-11-29 |
| 1003994476 | C Christopher Smith | Otolaryngology | 885 Union St, Suite 145, Bangor, ME 04401-3083 | 2006-11-01 |
| 1902987506 | Bangor Plastic and Hand Surgery, P.a. | Plastic Surgery | 885 Union St, Suite 245, Bangor, ME 04401-3083 | 2006-10-18 |
| 1114945433 | James A Raczek | Family Medicine | 885 Union St, Bangor, ME 04401-3083 | 2006-07-17 |
| 1528003266 | Barbara J. Daigle | Nurse Practitioner | 885 Union St, Suite 145, Bangor, ME 04401-3083 | 2006-06-17 |
| 1871547885 | Eastern Maine Homecare | Hospice Care, Community Based | 885 Union St, Suite 220, Bangor, ME 04401-3083 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922333202 | John S Largey | Dentist | 885 Union St Ste 225, Bangor, ME 04401-3074 | 2009-10-05 |
| 1790911121 | Eron Charles Aldridge | Dentist | 8 Penn Plz, Bangor, ME 04401-3620 | 2009-05-29 |
| 1760563910 | Jeffrey Steven Fister | Dentist | 224 State St, Bangor, ME 04401-5434 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669652764 | Bruce Allan Mason | Dentist | 139 Poplar Hill Rd, Turner, ME 04282-3828 | 2007-11-07 |
| 1578771465 | Northern Maine Oral & Facial Surgery Pa | Dentist | 181 Academy Street, Suite #1, Presque Isle, ME 04769-3178 | 2007-05-21 |
| 1588876908 | Grace Thomas | Dentist | 171 Maine Mall Rd, South Portland, ME 04106-2310 | 2007-05-06 |
| 1407070006 | Facial and Oral Surgery Associates | Dentist | 5 Community Dr, Augusta, ME 04330-8087 | 2007-04-13 |
| 1922154095 | Edward August Laga Jr. | Dentist | 175 Academy St, Suite 1, Presque Isle, ME 04769-3103 | 2007-01-25 |
| 1831249648 | John E Royal | Dentist | 97 Beechland Rd., Box 518, Ellsworth, ME 04605 | 2007-01-12 |
| 1609938406 | Henry C Ford | Dentist | 181 Academy St Ste 1, Presque Isle, ME 04769-3178 | 2006-12-15 |
| 1982763801 | Central Maine Oral & Maxillofacial Surgery Associates, Pa | Dentist | 405 Center Street, Auburn, ME 04210 | 2006-12-06 |
| 1700982329 | Jeffrey B Doss | Dentist | 12 Drive In Ln, Windham, ME 04062-5818 | 2006-09-15 |
| 1760586135 | Oral & Maxillofacial Surgeons of The Midcoast | Dentist | 189 Northport Ave, Belfast, ME 04915 | 2006-09-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.