# FACIAL AND ORAL SURGERY ASSOCIATES

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

## Provider details

- **NPI number:** 1407070006
- **Authorized official:** DR. R. RUBERT BERUBE (VICE PRESIDENT / SECRETARY)
- **Authorized official phone:** (207) 622-5814

## Contact information

- **Practice address:** 5 COMMUNITY DR, AUGUSTA, ME 04330-8087
- **Practice address phone:** (207) 622-5814
- **Practice address fax:** (207) 621-4360
- **Mailing address:** 5 COMMUNITY DR, AUGUSTA, ME 04330-8087
- **Mailing address phone:** (207) 622-5814
- **Mailing address fax:** (207) 621-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3423 | ME | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 07/24/2008