| Northern Maine Oral & Facial Surgery Pa | |
|
181 Academy Street Suite #1 Presque Isle ME 04769-3178 | |
| (207) 764-6337 | |
| (207) 764-1446 |
| Full Name | Northern Maine Oral & Facial Surgery Pa |
|---|---|
| Speciality | Dentist |
| Location | 181 Academy Street, Presque Isle, Maine |
| Authorized Official Name and Position | Debbie L Rooney (OFFICE MANAGER) |
| Authorized Official Contact | 2077646337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Maine Oral & Facial Surgery Pa 181 Academy Street Suite #1 Presque Isle ME 04769-3178 Ph: (207) 764-6337 | Northern Maine Oral & Facial Surgery Pa 181 Academy Street Suite #1 Presque Isle ME 04769-3178 Ph: (207) 764-6337 |
| NPI Number | 1578771465 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 6709848328 |
|---|---|
| Medicare Enrollment ID | O20100315000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578771465 | NPI | - | NPPES |
| 9760835 | Other | ME | CIGNA |
| 132730000 | Medicaid | ME | |
| 2209645 | Other | ME | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3426 (Maine) | Primary |
| Provider Name | Henry C Ford |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609938406 PECOS PAC ID: 4587625033 Enrollment ID: I20100626000078 |
| Provider Name | Robert G Mackinnon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427394717 PECOS PAC ID: 7719126051 Enrollment ID: I20130618000743 |
| Provider Name | Adam G Russell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326417353 PECOS PAC ID: 9830492313 Enrollment ID: I20160115000840 |
Aroostook Family Dental Health, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 184 Academy St, Presque Isle, ME 04769 Phone: 207-764-0684 Fax: 207-764-1485 | |
Cassidy Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 166 Academy St, Presque Isle, ME 04769 Phone: 207-764-6930 Fax: 207-764-5549 | |
Northern Maine Orthodontic Assoc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Academy St, Presque Isle, ME 04769 Phone: 207-764-5393 Fax: 207-764-6469 | |
Levasseur Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Academy St, Presque Isle, ME 04769 Phone: 207-764-3040 | |
Donald R. Blackstone, D.m.d., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 379 Centerline Rd, Presque Isle, ME 04769 Phone: 207-762-7881 | |
White Smiles Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 North St, Presque Isle, ME 04769 Phone: 207-760-7216 Fax: 207-540-1443 | |
Academy Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 179 Acedemy St, Presque Isle, ME 04769 Phone: 207-764-3764 Fax: 207-764-3367 |