| Southern Maine Oral And Maxillofacial Surgery Pa | |
|
440 Western Avenue South Portland ME 04106 | |
| (207) 774-2611 | |
| (207) 774-2613 |
| Full Name | Southern Maine Oral And Maxillofacial Surgery Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 440 Western Avenue, South Portland, Maine |
| Authorized Official Name and Position | Richard W Crawford (OWNER) |
| Authorized Official Contact | 2077742611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maine Oral And Maxillofacial Surgery Pa 440 Western Avenue South Portland ME 04106 Ph: (207) 774-2611 | Southern Maine Oral And Maxillofacial Surgery Pa 440 Western Avenue South Portland ME 04106 Ph: (207) 774-2611 |
| NPI Number | 1831256338 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831256338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Root Dental Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-405-0004 Fax: 207-405-0004 | |
Maine Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Western Ave, South Portland, ME 04106 Phone: 207-408-0479 | |
Pkv,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Western Ave, South Portland, ME 04106 Phone: 207-773-1703 Fax: 207-773-0268 | |
W. David Melevsky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, South Portland, ME 04106 Phone: 207-761-6699 Fax: 207-761-0245 | |
Gary A Kokx Dmd Todd D Ray Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496 | |
Southern Maine Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 John Roberts Rd, Suit 10b, South Portland, ME 04106 Phone: 207-773-3111 | |
Prosthodontics Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Western Ave, South Portland, ME 04106 Phone: 207-775-6348 Fax: 207-775-6311 |