Organization
NORTHERN MAINE ORAL & FACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY C FORD DMD (CEO)
(207) 764-6337
Entity
Organization
Contact information
Practice address
181 ACADEMY ST, STE 1, PRESQUE ISLE, ME 04769-3178
(207) 764-6337
(207) 764-1446
Mailing address
181 ACADEMY ST, STE 1, PRESQUE ISLE, ME 04769-3178
(207) 764-6337
(207) 764-1446
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DEN3426
ME
Other
Enumeration date
10/06/2009
Last updated
01/04/2011
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