Maine Dental Health Out-Reach, Inc

LBN: Maine Dental Health Out-Reach, Inc
Maine Dental Health Out-Reach, Inc is an health care organization with primary practice located at 45 Greenwood Ter , Winthrop ME 04364-1505. The organization recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as the primary health care specialty. Maine Dental Health Out-Reach, Inc can be contacted via phone (207) 377-7003, or through Lavallee, Susanne J via phone (207) 377-7003.

Contact Information

Primary practice address
45 Greenwood Ter Winthrop ME 04364-1505
Phone: (207) 377-7003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lavallee, Susanne J Registered Dental Hygienist (RDH)
Phone: (207) 377-7003

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1669607644
LBN Legal business name Maine Dental Health Out-Reach, Inc
DBA Doing business as
Authorized official Lavallee, Susanne J Registered Dental Hygienist (RDH)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2009
Last updated Feb 16th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669607644 NPPES
Maine MEDICAID 431944500

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