Susan Jean Lebrun Hobart, RDH
Individual provider Active NPI Dental Hygienist · Winthrop, ME
NPI 1376855825 · NPPES record last updated Jul 12, 2010
Key facts
- NPI
- 1376855825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDH2208 (ME)
- Practice address
- 676 Old Lewiston Rd
Winthrop, ME 04364-4119 - Phone
- (207) 377-7003
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| RDH2208 | ME | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDH2208 | ME | Yes |
Addresses
Primary practice location
676 Old Lewiston Rd
Winthrop, ME 04364-4119
Mailing address
116 Thorp Shores Rd
Readfield, ME 04355-3349
Phone (207) 685-9697
Other providers in Winthrop, 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, 2010. 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.