| Northeast Oral & Maxillofacial Surgery P.a.(remove) | |
|
37 Bower St Bangor ME 04401-4721 | |
| (207) 945-5691 | |
| (207) 942-9525 |
| Full Name | Northeast Oral & Maxillofacial Surgery P.a.(remove) |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 37 Bower St, Bangor, Maine |
| Authorized Official Name and Position | William A. Deighan (CO-OWNER/SURGEON) |
| Authorized Official Contact | 2079455691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Oral & Maxillofacial Surgery P.a.(remove) 37 Bower St Bangor ME 04401-4721 Ph: (207) 945-5691 | Northeast Oral & Maxillofacial Surgery P.a.(remove) 37 Bower St Bangor ME 04401-4721 Ph: (207) 945-5691 |
| NPI Number | 1255474698 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255474698 | NPI | - | NPPES |
| 246780099 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 3079 (Maine) | Primary |
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