William Alexander Deighan, D.M.D.

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

3079 Issued in ME

Practice address

37 Bower St
Bangor, ME 04401-4721

Phone

(207) 945-5691

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073659538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 KENNEBEC RD",
            "city": "NEWBURGH",
            "state": "ME",
            "postal_code": "044444947",
            "telephone_number": "207-234-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BOWER ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014721",
            "telephone_number": "207-945-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIGHAN",
        "first_name": "WILLIAM",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "ME",
            "license": "3079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle J Deckman, PHD
• Julianna Decuzzi, MD
• Lauren Degrange, LCSW
• Harleen Kaur Dehal
• Mary Kay Deighan, R.N.
• Bambi Morgan Delattre, LCSW
• Megan Grant Delbridge
• Sara Deliberty
• Noreen Delorey, PT
• Amanda Deluck, PMHNP

• Oral and Maxillofacial Pathology Dentistry in Bangor, ME
• Providers in Bangor, ME by specialty
• Oral and Maxillofacial Pathology Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.