Organization
COASTAL MAINE ORAL & MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BOWMAN DOSS DDS (PRESIDENT)
(207) 838-6029
Entity
Organization
Contact information
Practice address
180 US ROUTE 1, SCARBOROUGH, ME 04074
(207) 401-5006
Mailing address
180 US ROUTE 1, SCARBOROUGH, ME 04074
(207) 401-5006
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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