Lewis N Estabrooks
Oral and Maxillofacial Surgeon
20 Long Creek Dr
South Portland
, Maine 04106-2425
Lewis N Estabrooks
Oral and Maxillofacial Surgeon
20 Long Creek Dr
South Portland
, Maine 04106-2425
(207) 772-8641
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Lewis N Estabrooks
- 20 Long Creek Dr
- South Portland, ME
- Zip : 04106-2425
- Fax : (207) 772-8641
- Phone : (207) 772-3027
Second Address
- Lewis N Estabrooks
- 20 Long Creek Dr
- South Portland, ME
- Zip : 04106-2425
- Fax : (207) 772-8641
- Phone : (207) 772-3027
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 2365 | ME |
National Provider Identifier
| NPI | 1003810508 |
|---|---|
| Provider Name | Lewis N Estabrooks |
| First Address | South Portland, ME 04106-2425 |
| Second Address | South Portland, ME 04106-2425 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T31501 | (02) |
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.