Blake-Ireland, Theresa Marie

Blake-Ireland, Theresa Marie is an individual health care provider with primary practice located at 93 Main St , Waterville ME 04901-6636. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Blake-Ireland, Theresa Marie can be contacted via phone (207) 872-8891.

Contact Information

Primary practice address
93 Main St Waterville ME 04901-6636
Phone: (207) 872-8891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3040 Maine

Profile Details

NPI number 1104276518
LBN Legal business name Blake-Ireland, Theresa Marie
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Jun 16th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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