Northern Maine Oral & Facial Surgery, PA

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DEN3426 Issued in ME

Legal business name

NORTHERN MAINE ORAL & FACIAL SURGERY, PA

Practice address

181 Academy St
Ste 1
Presque Isle, ME 04769-3178

Phone

(207) 764-6337

Fax

(207) 764-1446

NPI assigned

Oct 6, 2009

Organization subpart

No

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

Authorized official

Name

Henry C Ford, DMDNPI 1609938406

Title

Ceo

Phone

(207) 764-6337

Specialties & licenses 1

Addresses

Tax ID family

Northern Maine Oral Facial Surgery PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern Maine Oral & Facial Surgery PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Presque Isle, ME
  • NPI 1578771465
  NPD tax ID

Practitioners 1

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

• Henry C Ford, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Presque Isle, ME
  • NPI 1609938406
  NPD Authorized official

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

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1699000836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-6337",
            "fax_number": "207-764-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ACADEMY ST",
            "address_2": "STE 1",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693178",
            "telephone_number": "207-764-6337",
            "fax_number": "207-764-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MAINE ORAL & FACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-06",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-764-6337",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "ME",
            "license": "DEN3426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Maine Ambulatory Endoscopy Center
• Northern Maine ENT Associates
• Northern Maine ENT Associates PA
• Northern Maine Eyewear LLC
• Northern Maine Oral & Facial Surgery PA
• Northern Maine Orthodontic Assoc.
• Northern Maine Speech Language Pathology Services, Inc.
• Northern Physical Therapy & Rehab Services LLC
• Northern Prosthetics
• Northern Radiological Associates

• Oral and Maxillofacial Surgery Clinic/Center in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.