# MID-MAINE ORAL AND MAXILLOFACIAL SURGERY PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194772426
- **Authorized official:** DR. THOMAS JOHN FIOLA DDS (OWNER)
- **Authorized official phone:** (207) 873-0117

## Contact information

- **Practice address:** 244 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4538
- **Practice address phone:** (207) 873-0117
- **Mailing address:** 244 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4538
- **Mailing address phone:** (207) 873-0117

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2641 | ME | Yes |

## Other

- **Enumeration date:** 05/30/2006
- **Last updated:** 08/22/2020