MAINEHEALTH
NPI 1073702288
Oral & Maxillofacial Surgery in Portland, ME

Q: What is Mainehealth's NPI number?

The NPI number for Mainehealth is 1073702288. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as MMC Oral Surgery.

Q: What is Mainehealth's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Mainehealth was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2007

22 BRAMHALL ST, PORTLAND, ME 04102(207) 871-4078 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2025, May 11, 2020 (2 updates tracked since 2020).

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About Mainehealth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINEHEALTH (NPI 1073702288), doing business as Mmc Oral Surgery, is a healthcare organization registered as an oral & maxillofacial surgery in Portland, Maine and active in the NPI registry since October 2007. The organization lists Lugene Anthony Inzana, Associate Cfo, as its authorized official.

NPPES Registry Identity

NPI1073702288

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameMAINEHEALTH

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address301 Us Route 1, Building CScarborough, ME 04074-7609 · (207) 396-8600 · Fax (207) 396-8632

Phone(207) 871-4078

Organization SubpartNo

Authorized OfficialLugene Anthony InzanaAssociate Cfo · (207) 662-3538

Enumeration DateOctober 24, 2007

Last NPPES UpdateMarch 31, 20252 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1073702288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

22 BRAMHALL ST, Portland, ME 04102

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Other Names 1

Doing Business AsMmc Oral Surgery

Other Identifiers 1

Medicaid119910022ME

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)