Northeast Oral & Maxillofacial Surgery P.A.(Remove)

LBN: Northeast Oral & Maxillofacial Surgery Associates P.A.
Northeast Oral & Maxillofacial Surgery P.A.(Remove) is an health care organization with primary practice located at 37 Bower St , Bangor ME 04401-4721. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. Northeast Oral & Maxillofacial Surgery Associates P.A. can be contacted via phone (207) 945-5691, or through Deighan, William A. via phone (207) 945-5691.

Contact Information

Primary practice address
37 Bower St Bangor ME 04401-4721
Fax: (207) 942-9525
Website:
Authorized official contact:
Name: Deighan, William A. Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 3079 Maine

Profile Details

NPI number 1255474698
LBN Legal business name Northeast Oral & Maxillofacial Surgery Associates P.A.
DBA Doing business as Northeast Oral & Maxillofacial Surgery P.A.(Remove)
Authorized official Deighan, William A. Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Dec 17th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255474698 NPPES
Maine MEDICAID 246780099

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