Dr. William Atherton Bagley
Oral and Maxillofacial Pathology
369 Main St
Lewiston
, Maine 04240-7030
Dr. William Atherton Bagley
Oral and Maxillofacial Pathology
369 Main St
Lewiston
, Maine 04240-7030
(207) 782-0343
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. William Atherton Bagley
- 369 Main St
- Lewiston, ME
- Zip : 04240-7030
- Fax : (207) 782-0343
- Phone : (207) 782-0044
Second Address
- Dr. William Atherton Bagley
- 369 Main St
- Lewiston, ME
- Zip : 04240-7030
- Fax : (207) 782-0343
- Phone : (207) 782-0044
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 2324 | ME |
National Provider Identifier
| NPI | 1255351664 |
|---|---|
| Provider Name | Dr. William Atherton Bagley |
| First Address | Lewiston, ME 04240-7030 |
| Second Address | Lewiston, ME 04240-7030 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 02/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106290000 | (05) | ME |
| T31413 | (02) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.