Laura Lynn Jowdry-Berthiaume, RDH
Individual provider Active NPI Dental Hygienist · Vassalboro, ME
NPI 1598042830 · NPPES record last updated Nov 15, 2011
Key facts
- NPI
- 1598042830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2695 (ME)
- Practice address
- 234 Seaward Mills Rd
Vassalboro, ME 04989-3628 - Phone
- (207) 445-5199
- NPI assigned
- Nov 15, 2011
- 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 |
|---|---|---|---|
| 2695 | ME | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2695 | ME | Yes |
Addresses
Primary practice location
234 Seaward Mills Rd
Vassalboro, ME 04989-3628
Mailing address
234 Seaward Mills Rd
Vassalboro, ME 04989-3628
Other providers in Vassalboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2011. 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.