Active NPIIndividual providerSole proprietor

Ashley D Soucy, LD

Denturist in Portland, Maine

NPI Number1801560842
Practice location
980 Forest Ave Ste 104, Portland, ME 04103-3357
Fax
—
Last updated
August 3, 2021

Ashley Dawn Soucy is a Denturist based in Portland, ME. Ashley Dawn Soucy practices in Portland, ME and has the professional credentials of LD. The NPI Number for Ashley Dawn Soucy is 1801560842 and holds a License No. DTR5539 (ME). The current practice location address for Ashley Dawn Soucy is 980 Forest Ave Ste 104, Portland, ME 04103-3357 and can be reached out via phone at 207-774-7645.

Provider Profile Details

NPI Number
1801560842
Provider Name
Ashley Dawn Soucy
Credential
LD
Provider Entity Type
Individual
Gender
Female
Address
980 Forest Ave Ste 104, Portland, ME 04103-3357
Phone Number
207-774-7645
Primary Taxonomy
Denturist · 122400000X
Sole Proprietor
Yes
Other Names
Ashley Dawn Libby (Former Name)
Provider Enumeration Date
August 3, 2021
Last Update Date
August 3, 2021
Certification Date
August 3, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
980 Forest Ave Ste 104
Portland, ME 04103-3357
State
Maine
Zip
04103-3357
Phone Number
207-774-7645
Portland, ME 04103Get directions →

Provider Business Mailing Address Details

Address
57 Nowell St
North Berwick, ME 03906-6519
City
North Berwick
State
ME
Zip
03906-6519
Phone Number
207-794-5322

License Information

License Number
DTR5539
License State
ME
Taxonomy
Denturist · 122400000X · 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 Ashley D Soucy, LD?

The NPI number of Ashley D Soucy, LD is 1801560842. It was assigned on August 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Ashley D Soucy, LD?

Ashley D Soucy, LD is registered under the primary taxonomy Denturist (code 122400000X), licensed in ME under license number DTR5539.

Where does Ashley D Soucy, LD practice?

The practice location is 980 Forest Ave Ste 104, Portland, ME 04103-3357. The office can be reached at 207-774-7645 (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 1801560842 directly on the NPPES registry website.

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