Mid Maine Oral Surgery

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

MID MAINE ORAL SURGERY

Practice address

244 Kennedy Memorial Dr
Waterville, ME 04901-4538

Phone

(207) 873-0117

NPI assigned

Mar 8, 2022

Organization subpart

Yes

Parent organization

MACAN HOLDINGS PA LLCAs reported in NPPES

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

Authorized official

Name

Dr. Luke L'Heureux, DMD, MDNPI 1780995712

Title

Oral Surgeon

Phone

(207) 649-6664

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Part of

Mid Maine Oral Surgery

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke L'Heureux, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Waterville, ME
  • NPI 1780995712
  NPD Authorized official

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1336896489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 EATON DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014511",
            "telephone_number": "207-649-6664"
        },
        {
            "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 SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MACAN HOLDINGS PA LLC",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "L'HEUREUX",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "207-649-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780995712",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@midmaineoralsurgery.com",
            "affiliation": "N",
            "endpointDescription": "encrypted e-mail address for the practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "244 Kennedy Memorial Dr",
            "city": "Waterville",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049014538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Ann Michaud
• Anna Michelson, DNP, APRN, AGNP-C
• Mid Maine Chiropractic Inc
• Mid Maine Gastroenterology
• Mid Maine Homeless Shelter
• Mid-Maine Oral and Maxillofacial Surgery PA
• Mid-Maine Radiology, P.a
• Jennifer Migliore
• Burton Miller
• Todd W Miller, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Waterville, ME
• Providers in Waterville, ME by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.