Provider Type Icon

FACIAL AND ORAL SURGERY ASSOCIATES NPI 1407070006


NPI Information

NPI: 1407070006
Provider Name: FACIAL AND ORAL SURGERY ASSOCIATES
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5 COMMUNITY DR
AUGUSTA, ME
ZIP 04330
Phone: (207) 622-5814
Get Directions

FACIAL AND ORAL SURGERY ASSOCIATES is an oral and maxillofacial surgery dentist in Augusta, ME. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. FACIAL AND ORAL SURGERY ASSOCIATES NPI is 1407070006. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5 COMMUNITY DR
AUGUSTA, ME
ZIP 04330-087
Phone: (207) 622-5814
Fax: (207) 621-4360

The provider's authorized official is R. Rubert Berube .
The authorized official title is Vice President / Secretary and has the following contact phone number (207) 622-5814.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 7/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery3423MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERMAINETAX ID NUMBER
2826700OTHERMAINEUNITED CONCORDIA
3K0832OTHERMAINEANTHEM BLUE CROSS
4=========MEDICAIDMAINE
5M53500OTHERMAINECIGNA HEALTHCARE
6MM0655MEDICARE ID-TYPE UNSPECIFIEDMAINEMEDICARE
72091238OTHERMAINEAETNA NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.