Farmington Oral & Facial Surgery P A | |
444 Wilton Rd Farmington ME 04938-6135 | |
(207) 779-1111 | |
Not Available |
Full Name | Farmington Oral & Facial Surgery P A |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 444 Wilton Rd, Farmington, Maine |
Authorized Official Name and Position | John Ellis (PRESIDENT) |
Authorized Official Contact | 2077791111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Farmington Oral & Facial Surgery P A 444 Wilton Rd Farmington ME 04938-6135 Ph: (207) 779-1111 | Farmington Oral & Facial Surgery P A 444 Wilton Rd Farmington ME 04938-6135 Ph: (207) 779-1111 |
NPI Number | 1437447109 |
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Provider Enumeration Date | 07/15/2011 |
Last Update Date | 07/15/2011 |
Identifier | Type | State | Issuer |
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1437447109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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