FACIAL AND ORAL SURGERY ASSOCIATES (NPI# 1407070006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407070006 |
| Entity Type | Organization |
| Organization Name | FACIAL AND ORAL SURGERY ASSOCIATES |
| Practice Address |
5 Community Dr Augusta ME 04330-8087 |
| Practice Telephone | 2076225814 |
| Practice Fax Number | 2076214360 |
| Mailing Telephone | 2076225814 |
| Mailing Fax Number | 2076214360 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | DR. R. RUBERT BERUBE (VICE PRESIDENT / SECRETARY) |
| Authorized Official Telephone | 2076225814 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3423 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | UNITED CONCORDIA | 826700 | 01 |
| ME | CIGNA HEALTHCARE | M53500 | 01 |
| ME | AETNA NUMBER | 2091238 | 01 |
| ME | ANTHEM BLUE CROSS | K0832 | 01 |
| Street Address |
5 COMMUNITY DR |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| 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 |
|---|---|---|---|---|
| 1558795930 | Terry R. Ellis, Dmd, PC | Dentist | 1244 Augusta West Pkwy, Augusta, GA 30909-1854 | 2013-08-21 |
| 1831455732 | Rebecca Lynne Paquin | Dentist | Mcg Department of Otolaryngology-head and Neck Surgery, 1120 15th Street, Suite Bp 4109, Augusta, GA 30912 | 2012-04-04 |
| 1487883815 | Sara Khaled Akeel | Dentist | 705 Saint Andrews Drive, Augusta, GA 30909 | 2009-07-07 |
| 1790715142 | R. Robert Berube | Dentist | Facial & Oral Surgery Associates, Pa, 5 Community Drive, Augusta, ME 04330 | 2006-07-03 |
| 1093744294 | Edwin Douglas Joy Jr. | Dentist | 1222 George C Wilson Dr, Augusta, GA 30909-4502 | 2006-07-01 |
| 1548205636 | Drs. Peacock & Rafoth, P.C. | Dentist | 3634 Wheeler Rd, Augusta, GA 30909-6518 | 2006-06-20 |
| 1790724763 | Samuel Christopher D'arco | Dentist | 3736 Walton Way Ext, Augusta, GA 30907-2402 | 2006-06-05 |
| 1255307831 | Terry Randal Ellis | Dentist | 1244 Augusta West Parkway, Augusta, GA 30909 | 2006-02-24 |
| 1275195984 | Anh Nguyen | Dentist | 1430 John Wesley Gilbert Drive, Augusta, GA 30912-5042 | 2019-07-02 |
| 1740606375 | Christian Boliere | Dentist | 1430 John Wesley Gilbert Dr, Gc-2112, Augusta, GA 30912-0001 | 2014-03-06 |
| Find all providers in AUGUSTA | ||||
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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.