Maine Coast Oral Surgery

NPI #1952717084 in Portland, Maine

Provider Information

NPI Number
1952717084
Entity Type
Organization
Organization Name
Maine Coast Oral Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Jul 9, 2014
Last Updated
Mar 17, 2018

Practice Location

Address
1601 CONGRESS ST
State
Maine
ZIP Code
04102-2102
Phone
(207) 772-8055

Authorized Official

Name
DR. RUSSELL J COLLETT, DDS
Title
ORAL SURGEON
Phone
(207) 772-8055

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - Oral and Maxillofacial RadiologyOral and Maxillofacial Radiology
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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