Individual
DR. KILLIAN DAVID MACCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
20 LONG CREEK DR, ORAL SURGERY ASSOCIATES PA, SOUTH PORTLAND, ME 04106-2425
(207) 772-3027
(207) 772-3027
Mailing address
20 LONG CREEK DR, ORAL SURGERY ASSOCIATES PA, SOUTH PORTLAND, ME 04106-2425
(207) 772-3027
(207) 772-3027
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MD17348
ME
208600000X
Surgery Physician
7105
MA
Other
Enumeration date
11/07/2005
Last updated
05/29/2015
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