Active NPI
Angela Elizabeth Smith, RDH
- Dental Hygienist
- Brunswick, ME
National Provider Identifier
1467579771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 3083
- Practice address
- 82 Baribeau Dr
Brunswick, ME 04011-3241 - Phone
- (120) 772-5431
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 3083 | ME | Primary |
Addresses
Primary practice location
82 Baribeau Dr
Brunswick, ME 04011-3241
Mailing address
35 Suprenant Cir
Brunswick, ME 04011-7142
Phone (120) 783-7955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467579771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SUPRENANT CIR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040117142",
"telephone_number": "120-783-7955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 BARIBEAU DR",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040113241",
"telephone_number": "120-772-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ANGELA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "ME",
"license": "3083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.