Jacquelyn Carole Richards

Primary specialty

DentistTaxonomy code 122300000X

License

DEN5046 Issued in ME

Practice address

2 Stilson St
Sanford, ME 04073-3228

Phone

(207) 324-8699

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Harbor Health Services Inc

  • Community Health Clinic/Center
  • Dorchester, MA
  • NPI 1659330496
  Medicare reassignment NPD
• Harbor Health Services, Inc.

  • Community Health Clinic/Center
  • Plymouth, MA
  • NPI 1568892859
  NPD
• Smile Doc PLLC

  • Dental Clinic/Center
  • Raymond, NH
  • NPI 1285465609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1225779663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MIDDLE ST UNIT 5",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014354",
            "telephone_number": "207-975-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STILSON ST",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733228",
            "telephone_number": "207-324-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 Route 27 Unit 2",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "NH",
            "postal_code": "030771256",
            "country_code": "US",
            "telephone_number": "603-244-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "JACQUELYN",
        "middle_name": "CAROLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN5046",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "50255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Maxson Reid, SLP
• Suzanne Reid
• Penny Lee Remick, LCPC
• Cora Reny, NP
• Robert D.E. Rice, M.D.
• Suzanne Rickard
• Thomas Riniolo, PT, DPT
• Tyler Rioux, PHARMD
• Ginger Louise Roberts, LMT
• Staci L Rooney, C-FSD, C-CBE

• Dentist in Sanford, ME
• Providers in Sanford, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.