Coastal Maine Oral & Maxillofacial Surgery PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COASTAL MAINE ORAL & MAXILLOFACIAL SURGERY PA

Practice address

180 US Route 1
Scarborough, ME 04074

Phone

(207) 401-5006

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Jeffrey Bowman Doss, DDSNPI 1700982329

Title

President

Phone

(207) 838-6029

Specialties & licenses 1

Addresses

Tax ID family

Coastal Maine Oral Maxillofacial 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.

• Coastal Maine Oral & Maxillofacial Surgery, PA

  • Dental Clinic/Center
  • Scarborough, ME
  • NPI 1841026929
  NPD tax ID

Practitioners 1

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

• Jeffrey B Doss, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Falmouth, ME
  • NPI 1700982329

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1962239103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-401-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "04074",
            "telephone_number": "207-401-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MAINE ORAL & MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BOWMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-838-6029",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

• Craig Y Clark, RN
• Kate Lynn Matthews Clark, LCPC-C
• Sheri R. Clark, FNP
• Gail Elizabeth Clinton, MD
• Coastal Collaborative Psychiatry, LLC
• Coastal Maine Oral & Maxillofacial Surgery, PA
• Coastal Women'S Healthcare
• Samuel Tristram Coffin, M.D.
• Helen Mary Cohen, WHNP
• Mylan C. Cohen, M.D.

• All providers in Scarborough, ME
• Oral and Maxillofacial Surgery (Dentist) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.