Organization Active NPI

Tooth Studio & Wellness LLC

  • Dental Hygienist
  • Bridgton, ME
National Provider Identifier
1770323479
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
Legal business name
TOOTH STUDIO & WELLNESS LLC
Practice address
576 Main St
Bridgton, ME 04009-4804
Phone
(207) 599-6459
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Rytel P Reynolds, IPDH
Title
Owner/Ceo
Phone
(207) 599-6459

Specialties & licenses 1

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

Addresses

Primary practice location

576 Main St
Bridgton, ME 04009-4804

Mailing address

576 Main St
Bridgton, ME 04009-4804
Phone (207) 599-6459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1770323479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094804",
            "telephone_number": "207-599-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040094804",
            "telephone_number": "207-599-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH STUDIO & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "RYTEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "207-599-6459",
        "authorized_official_credential": "IPDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.