Organization Active NPI

Saco Bay Dental Wellness LLC

  • Dental Hygienist
  • Saco, ME
National Provider Identifier
1275418261
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
SACO BAY DENTAL WELLNESS LLC
Practice address
238 North St
Saco, ME 04072-1870
Phone
(207) 503-0003
NPI assigned
Aug 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
Katie Elizabeth Latulip, RDH, IPDHNPI 1649161191
Title
Dental Hygienist/Owner
Phone
(207) 503-0003

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 HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X Primary

Addresses

Primary practice location

238 North St
Saco, ME 04072-1870

Mailing address

108 Cyr Rd
Littleton, NH 03561-3704
Phone (603) 366-6132

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": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1275418261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CYR RD",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035613704",
            "telephone_number": "603-366-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NORTH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721870",
            "telephone_number": "207-503-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACO BAY DENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "LATULIP",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DENTAL HYGIENIST/OWNER",
        "authorized_official_telephone_number": "207-503-0003",
        "authorized_official_credential": "RDH, IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.