MAINE COAST ORAL SURGERY NPI 1952717084

NPI Information

  • NPI: 1952717084
  • Provider Name: MAINE COAST ORAL SURGERY
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Organization
  • Former Legal Business Name: PORTLAND ORAL & MAXILLOFACIAL SURGERY
  • Address: 1601 CONGRESS ST
    PORTLAND, ME
    ZIP 04102
  • Phone: (207) 772-8055

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NPI Details

MAINE COAST ORAL SURGERY is an oral and maxillofacial pathology dentist in Portland, ME. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. MAINE COAST ORAL SURGERY NPI is 1952717084. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Portland Oral & Maxillofacial Surgery.

The provider's business location address is:

1601 CONGRESS ST
PORTLAND, ME
ZIP 04102-102
Phone: (207) 772-8055
Fax: (207) 772-8752

The provider's authorized official is Russell J Collett .
The authorized official title is Oral Surgeon and has the following contact phone number (207) 772-8055.

The enumeration date for this NPI number is 7/9/2014 and was last updated on 3/17/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0106XDentistOral and Maxillofacial PathologyYes
21223S0112XDentistOral and Maxillofacial SurgeryNo
31223X0008XDentistOral and Maxillofacial RadiologyNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11780995712OTHERMAINEORAL & MAXILLOFACIAL SURGERY

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: 11/21/2025

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