NORTHERN MAINE ORAL & FACIAL SURGERY PA (NPI# 1578771465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578771465 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE ORAL & FACIAL SURGERY PA |
| Practice Address |
181 Academy Street Suite #1 Presque Isle ME 04769-3178 |
| Practice Telephone | 2077646337 |
| Practice Fax Number | 2077641446 |
| Mailing Telephone | 2077646337 |
| Mailing Fax Number | 2077641446 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | MRS. DEBBIE L ROONEY (OFFICE MANAGER) |
| Authorized Official Telephone | 2077646337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3426 | ME | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | CIGNA | 9760835 | 01 |
| ME | AETNA | 2209645 | 01 |
| ME | 132730000 | 05 |
| Street Address |
181 ACADEMY STREET SUITE #1 |
| City | PRESQUE ISLE |
| State | ME |
| Zip Code | 04769-3178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871088070 | Hong Na Yang | Dentist | 122 Academy Street, Presque Isle, Presque Isle, ME 04769 | 2018-06-29 |
| 1588185409 | Dwight David Hubacher | Physical Therapy Assistant | 162 Academy Strret, Presque Isle, ME 04769 | 2017-06-30 |
| 1831561562 | Vna Home Health & Hospice | Home Health | 18 Green Hill Rd Ste 1, Presque Isle, ME 04769 | 2015-10-21 |
| 1225439581 | A & L Clinical Services | Community/Behavioral Health | 742 Main Street, Presque Isle, ME 04769 | 2014-09-05 |
| 1568728343 | Enrique Octavio Bujanda-morun | Surgery | Ar Gould Hospital 140 Academy St, Presque Isle, ME 04769 | 2012-04-06 |
| 1669659603 | Susan Cambridge Dick | Occupational Therapist | 10 Bernadette, Caribou Rehab and Nursing Center, Caribou, ME 04769 | 2008-01-22 |
| 1285826792 | Osama Aziz | Internal Medicine | 146 Academy St, Suite 1b, The Aroostook Medical Center, Presque Isle, ME 04769 | 2007-08-17 |
| 1831220250 | Rachel Mary Swartz | Obstetrics & Gynecology | 140 Academy St Ste 4, Presque Isle, ME 04769 | 2007-03-08 |
| 1114053634 | Ralph U Scheidler | Social Worker | 20 Dyer Street, Community Care, Presque Isle, ME 04769 | 2007-02-26 |
| 1427158716 | Venkatram Nethala | Internal Medicine | 146 Academy Street, Suite 1b, Presque Isle, ME 04769 | 2006-09-25 |
| Find all providers in zip 04769 | ||||
| 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 |
|---|---|---|---|---|
| 1922154095 | Edward August Laga Jr. | Dentist | 175 Academy St, Suite 1, Presque Isle, ME 04769-3103 | 2007-01-25 |
| 1609938406 | Henry C Ford | Dentist | 181 Academy St Ste 1, Presque Isle, ME 04769-3178 | 2006-12-15 |
| 1568670685 | Edward A. Laga, Jr. D.d.s. | Dentist | 175 Academy St, Presque Isle, ME 04769-3103 | 2007-05-21 |
| 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 |
| 1669652764 | Bruce Allan Mason | Dentist | 139 Poplar Hill Rd, Turner, ME 04282-3828 | 2007-11-07 |
| 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 |
| 1831249648 | John E Royal | Dentist | 97 Beechland Rd., Box 518, Ellsworth, ME 04605 | 2007-01-12 |
| 1982763801 | Central Maine Oral & Maxillofacial Surgery Associates, Pa | Dentist | 405 Center Street, Auburn, ME 04210 | 2006-12-06 |
| 1760563910 | Jeffrey Steven Fister | Dentist | 224 State St, Bangor, ME 04401-5434 | 2006-10-17 |
| 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 | ||||
| City | PRESQUE ISLE |
| Zip Code | 04769 |
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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.