Kimberly Fletcher, IPDH
Individual provider Active NPI Dental Hygienist · Manchester, ME
NPI 1336939636 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1336939636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDH3682 (ME)
- Practice address
- 16 Top Water Way
Manchester, ME 04351-3734 - Phone
- (207) 242-5656
- NPI assigned
- May 9, 2025
- 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 |
|---|---|---|---|
| RDH3682 | ME | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist |
124Q00000X | RDH3682 | ME | Yes |
Addresses
Primary practice location
16 Top Water Way
Manchester, ME 04351-3734
Mailing address
16 Top Water Way
Manchester, ME 04351-3734
Phone (207) 242-5656
Other providers in Manchester, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. 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.