Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mainehealth

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073702288

Mainehealth is an Oral and Maxillofacial Surgery (Dentist) in Portland, Maine. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

22 Bramhall St
Portland, ME 04102-3134
Phone: (207) 871-4078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1073702288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lugene Inzana — Associate Cfo · (207) 662-3538
Other names Mmc Oral Surgery; Mmc Oral Surgery
NPI enumeratedOctober 24, 2007
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address301 Us Route 1, Building C, Scarborough, ME 04074-7609

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