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Supritha Nilam, DDS
Oral & Maxillofacial Surgery (D.M.D.) in Ellsworth, Maine
NPI 1629597562

Supritha Nilam is a Oral & Maxillofacial Surgery (D.M.D.) based in Los Angeles, ME. Supritha Nilam practices in Ellsworth, ME and has the professional credentials of DDS. The NPI Number for Supritha Nilam is 1629597562 and holds a License No. DEN4589 (Maine).

The current practice location address for Supritha Nilam is 72 Beechland Rd, Ellsworth, ME and can be reached out via phone at 207-667-6789. You can also correspond with Supritha Nilam through the mailing address at 10833 LE CONTE AVENUE, A0156 CHS, LOS ANGELES, CA - 90095 (mailing address contact number: 310-825-0834).

Location: 72 Beechland Rd, Ellsworth, ME, 90095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629597562
Provider Name
Supritha Nilam
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
72 Beechland Rd, Ellsworth, ME, 90095
Phone Number
207-667-6789
Fax Number
Provider Enumeration Date
09/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
72 Beechland Rd
City
Ellsworth
State
Maine
Zip
04605-2533
Phone Number
207-667-6789
Fax Number
person
Provider Business Mailing Address Details
Address
10833 Le Conte Avenue, A0156 Chs
City
Los Angeles
State
California
Zip
90095
Phone Number
310-825-0834
Fax Number
310-794-2198
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
106194 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
DEN4589 (Maine)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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