Organization Active NPI

Sweet Smiles Dental Hygiene LLC

  • Health Maintenance Organization
  • Ellsworth, ME
National Provider Identifier
1063885036
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
IPH46 Issued in ME
Legal business name
SWEET SMILES DENTAL HYGIENE LLC
Practice address
248 State St Ste 11
Ellsworth, ME 04605-1850
Phone
(207) 667-8263
NPI assigned
Nov 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Mrs. Stephanie Renee Swett, IPDH
Title
Owner
Phone
(207) 479-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X IPH46 ME Primary

Addresses

Primary practice location

248 State St Ste 11
Ellsworth, ME 04605-1850

Mailing address

PO Box 1303
Ellsworth, ME 04605-1303

National Provider Directory

National Provider Directory

Locations

248 State St
Ste 11
Ellsworth, ME 04605
Phone (207) 667-8263

132 Bayside Rd
Ellsworth, ME 04605
Phone (207) 479-4110

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": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1063885036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1303",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 STATE ST STE 11",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051850",
            "telephone_number": "207-667-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET SMILES DENTAL HYGIENE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "SWETT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-479-4110",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IPDH"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "ME",
            "license": "IPH46",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellsworth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.