MMC ORAL SURGERY – Oral & Maxillofacial Surgery (D.M.D.), NPI 1790889376

MMC ORAL SURGERY is a healthcare provider. based in South portland, Maine. specializing in Oral & Maxillofacial Surgery (D.M.D.). The NPI Number for MMC ORAL SURGERY is 1790889376

Main info

Organization
Name
MMC ORAL SURGERY
NPI
1790889376
Phone
(207) 761-0650
Address
39 WALLACE AVE
Authorized Official
STEPHEN J KASABIAN PRESIDENT
Enumeration Date
12 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for MMC ORAL SURGERY

  • 39, Wallace Avenue, Sunset Park, South Portland, Cumberland County, Maine, 04106, United States

    SOUTH PORTLAND, ME 041066143

    Phone: (207) 761-0650

    Fax: (207) 761-8198

    Type: Mailing

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    DEPT OF SURGERY

    PORTLAND, ME 041023134

    Phone: (207) 871-4078

    Fax: (207) 871-6389

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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Reviews

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Frequently asked questions

Does MMC ORAL SURGERY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MMC ORAL SURGERY uses 1790889376.
Is MMC ORAL SURGERY listed as active for patients and plans?
The listing shows MMC ORAL SURGERY as active in the NPI system.
What healthcare role does MMC ORAL SURGERY hold?
Scheduling teams often label MMC ORAL SURGERY under Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What address line appears for MMC ORAL SURGERY?
MMC ORAL SURGERY's geographic hint is South Portland, Maine in our summary view.
Why does MMC ORAL SURGERY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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