Nicole M Breton, RDH
Individual provider Active NPI Dental Hygienist · Benton, ME
NPI 1194013136 · NPPES record last updated Jul 12, 2011
Key facts
- NPI
- 1194013136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2808 (ME)
- Practice address
- 800 Albion Rd
Benton, ME 04901-2817 - Phone
- (207) 287-3263
- Fax
- (207) 287-7213
- NPI assigned
- Jul 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2808 | ME | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2808 | ME | Yes |
Addresses
Primary practice location
800 Albion Rd
Benton, ME 04901-2817
Mailing address
800 Albion Rd
Benton, ME 04901-2817
Phone (207) 287-3263
Other providers in Benton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.