Elizabeth Bunker

Individual provider Active NPI Dental Hygienist · Bucksport, ME

NPI 1467140673 · NPPES record last updated Apr 26, 2023

Key facts

NPI
1467140673
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
2148 (ME)
Practice address
154 Main St
Bucksport, ME 04416
Phone
(207) 469-2912
NPI assigned
Apr 26, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Dental, LLC Current
since Sep 23, 2024
Accepting new patients
Quintessence, LLC Past
since Apr 30, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2148 ME Yes

Addresses

Primary practice location

154 Main St
Bucksport, ME 04416

Mailing address

PO Box 1898
Bucksport, ME 04416-1898
Phone (207) 469-2912

Other practice location 1

654 Millvale Rd
Bucksport, ME 04416-4526
Phone (207) 469-2912

Other providers in Bucksport, ME

All providers in Bucksport, ME · Dental Hygienist in Maine

Sources for this page

Verify at the official NPI Registry.