OrganizationActive
Southern Maine Oral and Maxillofacial Surgery PA
NPI 1831256338 · Oral and Maxillofacial Surgery (Dentist) · South Portland, ME
Provider details
- NPI number
- 1831256338
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Richard Crawford, Owner(207) 774-2611
Specialties & taxonomies
Dental Providers
Practice location
440 Western Avenue
South Portland, ME 04106
Phone: (207) 774-2611
Fax: (207) 774-2613
Approximate (ZIP-level) locationGet directions
Mailing address
440 Western Avenue
South Portland, ME 04106
Registry dates
- Enumerated
- 2007-01-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.