NPI 1073702288

Mainehealth

Organisation Oral & Maxillofacial Surgery (D.M.D.) Portland, ME

Practice location

Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: (207) 871-4078
Mailing address: 301 US Route 1 Building C, Scarborough, ME 04074-7609

Authorised official

Name: Lugene Anthony Inzana
Title: Associate Cfo
Phone: (207) 662-3538

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Maine →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Maine →

Registry record

NPI: 1073702288
Entity type: Organization
NPI issued: 24 Oct 2007
Record last updated: 31 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.