Farmington Oral & Facial Surgery P a

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

FARMINGTON ORAL & FACIAL SURGERY P A

Practice address

444 Wilton Rd
Farmington, ME 04938-6135

Phone

(207) 779-1111

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Ellis Jr.

Title

President

Phone

(207) 779-1111

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1437447109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WILTON RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386135",
            "telephone_number": "207-779-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILTON RD",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386135",
            "telephone_number": "207-779-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON ORAL & FACIAL SURGERY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-779-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velma Ann Evans, LCSW
• Evergreen Behavioral Services
• Farmington Chiropractic, LLC
• Farmington Operations, LLC
• Farmington Operations, LLC
• Carley Ann Fenning, AGACNP-BC
• Susan Ferra, FNP
• Cheryl B. Fisher, LCPC
• Dennis J Flanagan, PT, MS, OCS
• Katherine E Fletcher, CADC

• Oral and Maxillofacial Surgery (Dentist) in Farmington, ME
• Providers in Farmington, 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 Jul 15, 2011; 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.