# HEAD AND NECK SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEAD AND NECK SURGICAL ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548456866
- **Legal business name:** HEAD AND NECK SURGICAL ASSOCIATES
- **Authorized official:** MRS. ELAINE H BUTLAND (OFFICE MANAGER)
- **Authorized official phone:** (207) 797-5753

## Contact information

- **Practice address:** 244 KENNEDY MEMORIAL DR, SUITE G, WATERVILLE, ME 04901-4538
- **Practice address phone:** (207) 872-1937
- **Practice address fax:** (207) 872-1949
- **Mailing address:** 1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1889
- **Mailing address phone:** (207) 797-5753
- **Mailing address fax:** (207) 818-1715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/30/2009