Jennifer Carr Wilber, RDH
Individual provider Active NPI Dental Hygienist · Eliot, ME
NPI 1508259151 · NPPES record last updated Mar 6, 2015
Key facts
- NPI
- 1508259151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 1547 (NH)
- Practice address
- 17 Levesque Drive
Suite 3
Eliot, ME 03903 - Phone
- (207) 439-0779
- Fax
- (207) 439-0883
- NPI assigned
- Mar 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 1547 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haskell C. Kingston D.M.D.,P.a. | Past | Accepting new patients | |
| Blatt Family Dental, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1547 | NH | Yes |
Addresses
Primary practice location
17 Levesque Drive
Suite 3
Eliot, ME 03903
Mailing address
17 Levesque Drive
Suite 3
Eliot, ME 03903
Phone (207) 439-0779
Other providers in Eliot, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2015. 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.