MAINE DENTAL BOUTIQUE, LLC


Address: 16 Commerce Plz Ste 1a, Winthrop, ME 04364-1562
Phone: 2079300833

MAINE DENTAL BOUTIQUE, LLC (NPI# 1306337290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306337290
Entity Type Organization
Organization Name MAINE DENTAL BOUTIQUE, LLC
Practice Address 16 Commerce Plz Ste 1a
Winthrop
ME 04364-1562
Practice Telephone 2079300833
Mailing Telephone 2079300833
Enumeration Date 2018-05-25
Last Update Date 2018-05-25
Authorized Official Name KIMBERLY FICHTHORN (OWNER)
Authorized Official Telephone 2079300833
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist RDH4109 ME Dental Providers

Office Location

Street Address 16 COMMERCE PLZ STE 1A
City WINTHROP
State ME
Zip Code 04364-1562

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811408446 Kimberly Morgan Fichthorn Dental Hygienist 168 Main St Ste C, Winthrop, ME 04364 2017-10-23
1609266154 Darcia M Landers Nurse's Aide 32 Clark Street, Apt A, Winthrop, ME 04364 2015-02-04
1679971758 Employment Happens Specialist 9 Pamela Dr, Winthrop, ME 04364 2014-12-05
1497087340 Lisa Boulet Dental Hygienist 676 Old Lewiston Rd, Winthrop, ME 04364 2010-02-03
1508070426 Sara Mcclure Physical Therapist 18a High Street, Wintrhop, ME 04364 2007-05-09
1467678854 Westwind House Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 71 Gayton Lane, Winthrop, ME 04364 2007-04-17
1013096676 Michael Alton Hoyt Chiropractor 1354 Us Rt 202, Winthrop, ME 04364 2006-11-03
1427159417 Steven J Feldman Social Worker Therapy Corner 1318 Route 22, Winthrop, ME 04364 2006-09-25
1699736330 Susan Rand Phillips Physical Therapist 18a High St, Winthrop, ME 04364 2006-03-31
1508854647 Catharine Anne Heffernan Advanced Practice Midwife 149 Main St, Ste 2a, Winthrop Family Practice - Mgmc Midwifery Services, Winthrop, ME 04364 2005-10-12
Find all providers in zip 04364

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811408446 Kimberly Morgan Fichthorn Dental Hygienist 168 Main St Ste C, Winthrop, ME 04364 2017-10-23
1497087340 Lisa Boulet Dental Hygienist 676 Old Lewiston Rd, Winthrop, ME 04364 2010-02-03
1922233816 Susanne J Lavallee Dental Hygienist 45 Greenwood Ter, Winthrop, ME 04364-1505 2009-05-20
1336374222 Sherry A Laliberte Dental Hygienist 676 Old Lewiston Road, Winthrop, ME 04364-4119 2009-05-20
1598124737 Tiffany Arsenault Dental Hygienist 45 Greenwood Ter, Winthrop, ME 04364-1505 2016-02-16
1376855825 Susan Jean Lebrun Hobart Dental Hygienist 676 Old Lewiston Rd, Winthrop, ME 04364-4119 2010-07-12
1699900589 Hanna Benson Dental Hygienist 676 Old Lewiston Road, Winthrop, ME 04364-4119 2009-05-20
1669607644 Maine Dental Health Out-reach, Inc Dental Hygienist 45 Greenwood Ter, Winthrop, ME 04364-1505 2009-05-20
1629203518 Tracy L. Crocker Dental Hygienist 676 Old Lewiston Road, Winthrop, ME 04364-4119 2009-05-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053939025 Raghda A. Salman Dental Hygienist 1036 Brighton Ave # Unitea, Portland, ME 04102-1059 2020-07-07
1184250599 Britta Noel Griffiths Dental Hygienist 1881 Route 109, Acton, ME 04001 2020-03-17
1013475060 Shannon Rachel Faxon Dental Hygienist 120 Mount Hunger Shore Rd, Windham, ME 04062-5636 2019-03-08
1902376031 Susan Marie Perron Dental Hygienist 33 Island View Ln, Brunswick, ME 04011-3550 2018-12-02
1043794993 Jolene Pierce Dental Hygienist 1 Cumberland Pl Ste 116, Bangor, ME 04401-5087 2018-09-17
1033627633 Joleen Lee Dental Hygienist 201 Texas Ave, Bangor, ME 04401-4324 2018-01-17
1942728332 Mackenzie Erin Chancellor Dental Hygienist 186 Lowelltown Rd, Wiscasset, ME 04578 2017-09-06
1437677101 Michelle Colleen Carlson Dental Hygienist 2402 Route 2 Ste E, Hermon, ME 04401-0666 2017-09-01
1932636214 Hannah Elizabeth Lachance Dental Hygienist 131 Johnson Rd, Portland, ME 04102-1988 2017-05-17
1639619505 Lynn Marie Schofield Dental Hygienist 486 Ocean House Rd, Cape Elizabeth, ME 04107-2622 2017-02-27
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Competitor

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City WINTHROP
Zip Code 04364

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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