# NORTHEAST ORAL & MAXILLOFACIAL SURGERY ASSOCIATES P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Oral & Maxillofacial Surgery P.A.(remove)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255474698
- **Authorized official:** DR. WILLIAM A. DEIGHAN D.M.D. (CO-OWNER/SURGEON)
- **Authorized official phone:** (207) 945-5691

## Contact information

- **Practice address:** 37 BOWER ST, BANGOR, ME 04401-4721
- **Practice address phone:** (207) 945-5691
- **Practice address fax:** (207) 942-9525
- **Mailing address:** 37 BOWER ST, BANGOR, ME 04401-4721
- **Mailing address phone:** (207) 945-5691
- **Mailing address fax:** (207) 942-9525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 3079 | ME | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 12/17/2012