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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | RDH4109 | ME | Dental Providers |
Street Address |
16 COMMERCE PLZ STE 1A |
City | WINTHROP |
State | ME |
Zip Code | 04364-1562 |
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 Code | 124Q00000X |
Grouping | Dental Providers |
Classification | Dental Hygienist |
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. |
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 |
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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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.