Organization Active NPI

The Traveling Toothfairy, LLC

  • Dental Clinic/Center
  • Lunenburg, MA
National Provider Identifier
1033691464
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10543 Issued in MA
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

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marcy E Foreman, RDH, BSNPI 1730492489
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.