SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
NPI 1831256338
Dentist - Oral and Maxillofacial Surgery in South Portland, ME

Active since January 03, 2007
440 WESTERN AVENUE, SOUTH PORTLAND, ME 04106(207) 774-2611(207) 774-2613 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Maine Oral And Maxillofacial Surgery Pa NPPES

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

SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA (NPI 1831256338) is a healthcare organization registered as an oral and maxillofacial surgery in South Portland, Maine and active in the NPI registry since January 2007. The organization lists Richard W Crawford, Owner, as its authorized official.

NPPES Registry Identity

NPI1831256338
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
Location Address440 WESTERN AVENUESouth Portland, ME 04106
Mailing Address440 Western AvenueSouth Portland, ME 04106 · (207) 774-2611 · Fax (207) 774-2613
Fax(207) 774-2613
Organization SubpartNo
Authorized OfficialRichard W CrawfordOwner · (207) 774-2611
Enumeration DateJanuary 3, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1831256338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
440 WESTERN AVENUE, South Portland, ME 04106

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

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

Dentist
440 WESTERN AVENUE
SOUTH PORTLAND, ME 04106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Maine Oral And Maxillofacial Surgery PA's NPI number?

The NPI number for Southern Maine Oral And Maxillofacial Surgery PA is 1831256338. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Southern Maine Oral And Maxillofacial Surgery PA located?

Southern Maine Oral And Maxillofacial Surgery PA is located at 440 Western Avenue, South Portland, ME 04106. The listed phone number is (207) 774-2611.

What is Southern Maine Oral And Maxillofacial Surgery PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Southern Maine Oral And Maxillofacial Surgery PA was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.