- Practice location
- 12 Sullivan St Ste 107, Berwick, ME 03901-2925
- Phone
- 207-810-6019
- Fax
- —
- Last updated
- April 1, 2025
Mint Preventative Dental Spa, PLLC is a healthcare organization based in Berwick, ME. Mint Preventative Dental Spa, PLLC practices in Berwick, ME. The NPI Number for Mint Preventative Dental Spa, PLLC is 1609502830. The current practice location address for Mint Preventative Dental Spa, PLLC is 12 Sullivan St Ste 107, Berwick, ME 03901-2925 and can be reached out via phone at 207-810-6019.
Provider Profile Details
- NPI Number
- 1609502830
- Provider Name
- Mint Preventative Dental Spa, PLLC
- Provider Entity Type
- Organization
- Address
- 12 Sullivan St Ste 107, Berwick, ME 03901-2925
- Phone Number
- 207-810-6019
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Daniele West, IPDH · Owner · 603-986-3139
- Provider Enumeration Date
- July 29, 2022
- Last Update Date
- April 1, 2025
- Certification Date
- April 1, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Sullivan St Ste 107
Berwick, ME 03901-2925 - City
- Berwick
- State
- Maine
- Zip
- 03901-2925
- Phone Number
- 207-810-6019
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
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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, PLLC?
The NPI number of Mint Preventative Dental Spa, PLLC is 1609502830. It was assigned on July 29, 2022 and is currently active in the NPPES registry.
What is the specialty of Mint Preventative Dental Spa, PLLC?
Mint Preventative Dental Spa, PLLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Mint Preventative Dental Spa, PLLC practice?
The practice location is 12 Sullivan St Ste 107, Berwick, ME 03901-2925. The office can be reached at 207-810-6019 (phone).
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 1609502830 directly on the NPPES registry website.