| Maine Coast Oral Surgery | |
|
1601 Congress St Portland ME 04102-2102 | |
| (207) 772-8055 | |
| (207) 772-8752 |
| Full Name | Maine Coast Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 1601 Congress St, Portland, Maine |
| Authorized Official Name and Position | Russell J Collett (ORAL SURGEON) |
| Authorized Official Contact | 2077728055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maine Coast Oral Surgery 1601 Congress St Portland ME 04102-2102 Ph: () - | Maine Coast Oral Surgery 1601 Congress St Portland ME 04102-2102 Ph: (207) 772-8055 |
| NPI Number | 1952717084 |
|---|---|
| Provider Enumeration Date | 07/09/2014 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952717084 | NPI | - | NPPES |
| 1780995712 | Other | ME | ORAL & MAXILLOFACIAL SURGERY |
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