NPI 1790889376

Maine Medical Partners

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

Practice location

Address: 22 Bramhall St Dept of Surgery, Portland, ME 04102-3134
Phone: (207) 871-4078
Fax: (207) 871-6389
Mailing address: 39 Wallace Ave, South Portland, ME 04106-6143

Authorised official

Name: Stephen J Kasabian
Title: President
Phone: (207) 761-0650

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Maine →

Registry record

NPI: 1790889376
Entity type: Organization
NPI issued: 12 Sep 2006
Record last updated: 22 Aug 2020

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.