| Full Name | |
|---|---|
| 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 |
|---|---|
33 Wells Road Cape Elizabeth ME 04107-5115 Ph: (207) 712-9103 | 1250 Forest Ave Portland ME 04103 Ph: (207) 387-2055 |
| NPI Number | 1366854838 |
|---|---|
| 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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