Heather Elisha Sprague, RDH
Individual provider Active NPI Dental Hygienist · Milford, ME
NPI 1639593239 · NPPES record last updated Jan 4, 2017
Key facts
- NPI
- 1639593239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDH2951 (ME)
- Practice address
- 50 Overlook Drive
Milford, ME 04461-0891 - Phone
- (207) 827-2900
- NPI assigned
- Feb 18, 2014
- 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 |
|---|---|---|---|
| IPH73 | ME | MD | Dental Hygienist |
| RDH2951 | ME | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | IPH73 | ME | |
| Dental Hygienist | 124Q00000X | RDH2951 | ME | Yes |
Addresses
Primary practice location
50 Overlook Drive
Milford, ME 04461-0891
Mailing address
PO Box 891
Milford, ME 04461-0891
Phone (207) 827-2900
Other providers in Milford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2017. 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.