Organization Active NPI

Mid-Coast Dental Hygiene, LLC

  • Dental Hygienist
  • Damariscotta, ME
National Provider Identifier
1720380215
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
IPH5 Issued in ME
Legal business name
MID-COAST DENTAL HYGIENE, LLC
Practice address
748 Main St
Damariscotta, ME 04543-4683
Phone
(207) 380-6445
Fax
(866) 661-1975
NPI assigned
Dec 3, 2010
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Traci L Dempsey, IPDHNPI 1588801781
Title
Owner
Phone
(207) 380-6445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X IPH5 ME Primary

Addresses

Primary practice location

748 Main St
Damariscotta, ME 04543-4683

Mailing address

748 Main St
Damariscotta, ME 04543-4683
Phone (207) 380-6445

National Provider Directory

National Provider Directory

Locations

748 Main St
Damariscotta, ME 04543
Phone (207) 563-3368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1720380215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434683",
            "telephone_number": "207-380-6445",
            "fax_number": "866-661-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 MAIN ST",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045434683",
            "telephone_number": "207-380-6445",
            "fax_number": "866-661-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COAST DENTAL HYGIENE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-380-6445",
        "authorized_official_credential": "IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "IPH5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Damariscotta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.