Active NPI
The Traveling Toothfairy, LLC
- Dental Clinic/Center
- Lunenburg, MA
National Provider Identifier
1033691464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 10543
- Legal business name
- THE TRAVELING TOOTHFAIRY, LLC
- Practice address
- 9 Fire Road 15a
Lunenburg, MA 01462 - Phone
- (508) 596-3506
- NPI assigned
- Sep 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcy E Foreman, RDH, BS
- Title
- Owner
- Phone
- (508) 596-3506
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 10543 | MA | Primary |
Addresses
Primary practice location
9 Fire Road 15a
Lunenburg, MA 01462
Mailing address
9 Fire Road 15a
Lunenburg, MA 01462-1670
Phone (508) 596-3506
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Lunenburg, MA
- NPI 1730492489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764892800000",
"number": "1033691464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FIRE ROAD 15A",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "014621670",
"telephone_number": "508-596-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FIRE ROAD 15A",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "01462",
"telephone_number": "508-596-3506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TRAVELING TOOTHFAIRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-01",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A",
"authorized_official_last_name": "FOREMAN",
"authorized_official_first_name": "MARCY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "508-596-3506",
"authorized_official_credential": "RDH, BS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "MA",
"license": "10543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lunenburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.