Organization
SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W CRAWFORD DMD (OWNER)
(207) 774-2611
Entity
Organization
Contact information
Practice address
440 WESTERN AVENUE, SOUTH PORTLAND, ME 04106
(207) 774-2611
(207) 774-2613
Mailing address
440 WESTERN AVENUE, SOUTH PORTLAND, ME 04106
(207) 774-2611
(207) 774-2613
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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