# NORTHERN MAINE ORAL & FACIAL SURGERY PA

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

## Provider details

- **NPI number:** 1578771465
- **Authorized official:** MRS. DEBBIE L ROONEY (OFFICE MANAGER)
- **Authorized official phone:** (207) 764-6337

## Contact information

- **Practice address:** 181 ACADEMY STREET, SUITE \#1, PRESQUE ISLE, ME 04769-3178
- **Practice address phone:** (207) 764-6337
- **Practice address fax:** (207) 764-1446
- **Mailing address:** 181 ACADEMY STREET, SUITE \#1, PRESQUE ISLE, ME 04769-3178
- **Mailing address phone:** (207) 764-6337
- **Mailing address fax:** (207) 764-1446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3426 | ME | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 01/06/2011