Shannon Christine Taber, RDH, IPDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH4617 Issued in ME

Practice address

12 Sullivan St Ste 107
Berwick, ME 03901-2925

Phone

(207) 810-6019

NPI assigned

Sep 5, 2025

Last updated

Sep 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mint Preventative Dental Spa Cornish PLLC

  dba Fryeburg Family Dental

  • Dental Hygienist
  • Fryeburg, ME
  • NPI 1033920798
  NPD
• Mint Preventative Dental Spa, PLLC

  • Dental Clinic/Center
  • Berwick, ME
  • NPI 1609502830
  NPD
• Fryeburg Family Dental

  dba Bernadette Kozak

  • Dental Hygienist
  • Fryeburg, ME
  • NPI 1538541727
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1700766086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SULLIVAN ST STE 107",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012925",
            "telephone_number": "207-810-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SULLIVAN ST STE 107",
            "city": "BERWICK",
            "state": "ME",
            "postal_code": "039012925",
            "telephone_number": "207-810-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Portland St",
            "address_purpose": "LOCATION",
            "city": "Fryeburg",
            "state": "ME",
            "postal_code": "040371294",
            "country_code": "US",
            "telephone_number": "207-256-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABER",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "credential": "RDH, IPDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhythm and Strings Music Therapy, LLC
• Stephanie Ruger
• Kristan Hilarey Skora
• Marjory K Smith
• Speak Easy New England LLC
• Jessica Thoroughgood
• Julie Thoroughgood
• Karen Tufts
• Veronica Ulery, LICSW
• Desiray Walsh

• Dental Hygienist in Berwick, ME
• Providers in Berwick, ME by specialty
• Dental Hygienist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.