Lauren Durell, RDH

Key facts

NPI

1104495993

Entity type

Individual (NPI type 1)

Primary specialty

Dental Hygienist 124Q00000X

License

RDH4213 (ME)

Practice address

716 Stevens Ave
Portland, ME 04103-2656

Phone

(207) 283-0171

NPI assigned

Jun 24, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mainely Smiles Public Health Dentistry · Portland, ME · NPI 1992391536
  NPD (past)
• The Root Cellar Public Health or Welfare Agency · Portland, ME · NPI 1932431798
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2021.

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1104495993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NORTHWOOD DR",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032051",
            "telephone_number": "603-833-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 STEVENS AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032656",
            "telephone_number": "207-283-0171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012630",
            "country_code": "US",
            "telephone_number": "207-774-3197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Regan Ln",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032035",
            "country_code": "US",
            "telephone_number": "207-200-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURELL",
        "first_name": "LAUREN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH4213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

• Alice M. Dunworth, LCSW
• Zachary Duperry, MD
• Nicholas Denis Dupuis, DO
• Jillian Joy Dur, D.O.
• Hannah Britton Durant, DO
• Albert M Durgin, LCSW
• Rebecca Durgin, LMSW-CC
• Aarone Rae Durocher, ATC, OTC, OT-SC
• Vicki V Durrell, LSW
• Linda S. Durst, MD

All providers in Portland, ME · Dental Hygienist in Maine