Gregory V Sarka, DDS, MD, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3720 Issued in ME

Legal business name

GREGORY V SARKA, DDS, MD, LLC

Doing business as

Portland Oral and Maxillofacial Surgury

Practice address

1250 Forest Ave
Portland, ME 04103

Phone

(207) 387-2055

Fax

(207) 387-2022

NPI assigned

Jun 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Gregory V. Sarka, DDS, MD

Title

Owner

Phone

(207) 712-9103

Specialties & licenses 1

Addresses

Other names 1

• Portland Oral and Maxillofacial Surgury Doing business as

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1366854838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WELLS ROAD",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041075115",
            "telephone_number": "207-712-9103",
            "fax_number": "207-517-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-387-2055",
            "fax_number": "207-387-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY V SARKA, DDS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "SARKA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-712-9103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Oral and Maxillofacial Surgury",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Greentree, MD
• Audria Greenwald, MD
• Julia Fasse Greenwald, MD
• Donna Lynne Greenwood, MD
• Gregory J Fisher DDS PA
• Gregory W. Nevens, Ed.D PA
• Jillian Gregory, DO
• Jenner Elizabeth Greil, ARNP
• Elizabeth Salko Grenier, RN, CRNA
• Holly Grgas, LCSW, PMH-C

• Oral and Maxillofacial Surgery (Dentist) in Portland, ME
• Providers in Portland, 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 Feb 1, 2024; 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.