| Oral Surgery Associates Pa | |
|
20 Long Creek Dr South Portland ME 04106-2425 | |
| (207) 772-4063 | |
| Not Available |
| Full Name | Oral Surgery Associates Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 20 Long Creek Dr, South Portland, Maine |
| Authorized Official Name and Position | Mark D Zajkowski (PARTNER/PRACTICE OWNER) |
| Authorized Official Contact | 2077724063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Pa 20 Long Creek Dr South Portland ME 04106-2425 Ph: (207) 772-4063 | Oral Surgery Associates Pa 20 Long Creek Dr South Portland ME 04106-2425 Ph: (207) 772-4063 |
| NPI Number | 1780765495 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780765495 | NPI | - | NPPES |
| 110700000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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