Stacy, Loreene A

Stacy, Loreene A is an individual health care provider with primary practice located at 1600 Forest Ave , Portland ME 04103-1314. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stacy, Loreene A can be contacted via phone (207) 541-6631.

Contact Information

Primary practice address
1600 Forest Ave Portland ME 04103-1314
Phone: (207) 541-6631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X RDH3132 Maine

Profile Details

NPI number 1730507203
LBN Legal business name Stacy, Loreene A
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 10 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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