Mid-Maine Oral and Maxillofacial Surgery PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2641 Issued in ME

Legal business name

MID-MAINE ORAL AND MAXILLOFACIAL SURGERY PA

Practice address

244 Kennedy Memorial Dr
Waterville, ME 04901-4538

Phone

(207) 873-0117

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas John Fiola, DDS

Title

Owner

Phone

(207) 873-0117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194772426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014538",
            "telephone_number": "207-873-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 KENNEDY MEMORIAL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014538",
            "telephone_number": "207-873-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MAINE ORAL AND MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIOLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-873-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "2641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Michelson, DNP, APRN, AGNP-C
• Mid Maine Chiropractic Inc
• Mid Maine Gastroenterology
• Mid Maine Homeless Shelter
• Mid Maine Oral Surgery
• Mid-Maine Radiology, P.a
• Jennifer Migliore
• Burton Miller
• Todd W Miller, M.D.
• Nora Eileen Mills, AGACNP-BC

• Oral and Maxillofacial Surgery (Dentist) in Waterville, ME
• Providers in Waterville, ME by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.