Androscoggin Oral and Maxillofacial Surgeons PA

Primary specialty

DentistTaxonomy code 122300000X

License

3108 Issued in ME

Legal business name

ANDROSCOGGIN ORAL AND MAXILLOFACIAL SURGEONS PA

Practice address

501 Main St
Lewiston, ME 04240

Phone

(207) 784-9327

Fax

(207) 777-1397

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jan B Kippax, DMD

Title

Owner

Phone

(207) 784-9327

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821029075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-784-9327",
            "fax_number": "207-777-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-784-9327",
            "fax_number": "207-777-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROSCOGGIN ORAL AND MAXILLOFACIAL SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIPPAX",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-784-9327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "ME",
            "license": "3108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Androscoggin Home Health Services, Inc.
• Androscoggin Home Health Services, Inc.
• Androscoggin Home Health Services, Inc.
• Androscoggin Home Health Services, Inc.
• Androscoggin Home Health Services, Inc.
• Androscoggin Osteopathic, LLC,
• Anesthesia Associates of Lewiston-Auburn, P.a.
• Alyssa Lore Antkies, LCSW, CADC
• Jason Ross Antkies, LADC
• Apothecary RX Inc.

• Dentist in Lewiston, ME
• Providers in Lewiston, ME by specialty
• 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.