TOOTH FAIRIES INC (NPI# 1376774828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376774828 |
Entity Type | Organization |
Organization Name | TOOTH FAIRIES INC |
Practice Address |
12 Lafrinea Ln Poland ME 04274-6158 |
Practice Telephone | 2079983500 |
Mailing Telephone | 2079983500 |
Enumeration Date | 2009-07-31 |
Last Update Date | 2009-07-31 |
Authorized Official Name | MRS. DOROTHY MARGARET MAROON (DENTAL HYGIENIST) |
Authorized Official Telephone | 2079983500 |
Authorized Official Credential | RDH |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | RDH2546 | ME | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | MAINE CARE | 188720000 | 01 |
Street Address |
12 LAFRINEA LN |
City | POLAND |
State | ME |
Zip Code | 04274-6158 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194966002 | Dorothy Margaret Maroon | Dental Hygienist | 12 Lafrinea Ln, Poland, ME 04274-6158 | 2009-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225204134 | Jessica N Weary | Social Worker | 1203 Maine St., Poland, ME 04274 | 2008-05-01 |
1093061418 | Jordan A Albair | Nurse Practitioner | 1230 Maine St, Poland, ME 04274 | 2012-08-03 |
1942289657 | Trisha Gushue | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-01-11 |
1699322859 | Christopher Raymond Butler | Nurse Practitioner | 364 Maine St, Poland, ME 04274-5109 | 2019-08-22 |
1821168469 | James Frederick Weigand | Dentist | 364 Maine St, Poland Spring, ME 04274-5109 | 2006-11-09 |
1770528143 | Nathan Raby | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-06-18 |
1215917943 | Dana Little | Family Medicine | 364 Maine St, Poland, ME 04274-5109 | 2006-01-19 |
1790020543 | Deborah Susan Housley | Dental Hygienist | 9 Doten Ln, Poland, ME 04274-5605 | 2012-12-05 |
1699931899 | Kristen Gree Cobb | Specialist | 211 Range Hill Rd, Poland, ME 04274-5901 | 2008-08-06 |
1083224679 | Theresa Louise Allocca | Counselor | 96 Birch Dr, Poland Spring, ME 04274-6115 | 2020-08-07 |
Find all providers in zip 04274 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
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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.