Active NPIOrganization

Mint Preventative Dental Spa Cornish PLLC

Dental Hygienist in Fryeburg, Maine

NPI Number1033920798
Practice location
19 Portland St Ste 107, Fryeburg, ME 04037-1294
Fax
570-218-7857
Last updated
January 14, 2025

Mint Preventative Dental Spa Cornish PLLC is a healthcare organization based in Fryeburg, ME. Mint Preventative Dental Spa Cornish PLLC practices in Fryeburg, ME. The NPI Number for Mint Preventative Dental Spa Cornish PLLC is 1033920798. The current practice location address for Mint Preventative Dental Spa Cornish PLLC is 19 Portland St Ste 107, Fryeburg, ME 04037-1294 and can be reached out via phone at 207-810-6019 and via fax at 570-218-7857.

Provider Profile Details

NPI Number
1033920798
Provider Name
Mint Preventative Dental Spa Cornish PLLC
Provider Entity Type
Organization
Address
19 Portland St Ste 107, Fryeburg, ME 04037-1294
Phone Number
207-810-6019
Fax Number
570-218-7857
Primary Taxonomy
Dental Hygienist · 124Q00000X
Organization Subpart
No
Authorized Official
Jennifer Davis, IPDH · Owner · 603-682-3295
Other Names
Fryeburg Family Dental (Doing Business As)
Provider Enumeration Date
January 14, 2025
Last Update Date
January 14, 2025
Certification Date
January 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Portland St Ste 107
Fryeburg, ME 04037-1294
State
Maine
Zip
04037-1294
Phone Number
207-810-6019
Fax Number
570-218-7857
Fryeburg, ME 04037Get directions →

Provider Business Mailing Address Details

Address
12 Sullivan St Ste 107
Berwick, ME 03901-2925
City
Berwick
State
ME
Zip
03901-2925
Phone Number
207-810-6019
Fax Number
570-218-7857

License Information

Taxonomy
Dental Hygienist · 124Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mint Preventative Dental Spa Cornish PLLC?

The NPI number of Mint Preventative Dental Spa Cornish PLLC is 1033920798. It was assigned on January 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Mint Preventative Dental Spa Cornish PLLC?

Mint Preventative Dental Spa Cornish PLLC is registered under the primary taxonomy Dental Hygienist (code 124Q00000X).

Where does Mint Preventative Dental Spa Cornish PLLC practice?

The practice location is 19 Portland St Ste 107, Fryeburg, ME 04037-1294. The office can be reached at 207-810-6019 (phone) or 570-218-7857 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033920798 directly on the NPPES registry website.

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