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Mainehealth — NPI 1073702288, Portland, ME | NPI Central

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NPI 1073702288

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Mainehealth

NPI 1073702288 · Oral & Maxillofacial Surgery (D.M.D.) · Portland, ME

Provider details

NPI number: 1073702288
Entity type: Organization
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Lugene Inzana, Associate Cfo(207) 662-3538

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000X
Allopathic & Osteopathic Physicians
Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers

Practice location

22 Bramhall St

Portland, ME 04102-3134

Phone: (207) 871-4078

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

301 US Route 1

Scarborough, ME 04074-7609

Other names (DBA / former)

Doing business as: Mmc Oral Surgery
Doing business as: Mmc Oral Surgery

Registry dates

Enumerated: 2007-10-24
Last updated: 2025-03-31
Certified: 2025-03-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.