Organization
ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON K RING (OFFICE MANAGER)
(207) 942-6620
Entity
Organization
Contact information
Practice address
885 UNION ST, STE. 225, BANGOR, ME 04401-3083
(207) 942-6620
(207) 942-6264
Mailing address
885 UNION ST, STE. 225, BANGOR, ME 04401-3083
(207) 942-6620
(207) 942-6264
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3522
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133160000
—
ME
Enumeration date
08/30/2006
Last updated
01/30/2009
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