Portland Oral And Maxillofacial Surgury | |
1250 Forest Ave Portland ME 04103 | |
(207) 387-2055 | |
(207) 387-2022 |
Full Name | Portland Oral And Maxillofacial Surgury |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1250 Forest Ave, Portland, Maine |
Authorized Official Name and Position | Gregory V. Sarka (OWNER) |
Authorized Official Contact | 2077129103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Portland Oral And Maxillofacial Surgury 33 Wells Road Cape Elizabeth ME 04107-5115 Ph: (207) 712-9103 | Portland Oral And Maxillofacial Surgury 1250 Forest Ave Portland ME 04103 Ph: (207) 387-2055 |
NPI Number | 1366854838 |
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Provider Enumeration Date | 06/02/2014 |
Last Update Date | 02/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366854838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3720 (Maine) | Primary |
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› Verified 4 days ago
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