Jennifer Cassidy, R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3625 Issued in ME

Practice address

104 Corn Shop LN
Farmington, ME 04938-6401

Phone

(207) 778-4200

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Benchmark Dental LLC

  • Dental Clinic/Center
  • Farmington, ME
  • NPI 1124695945
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1922185263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CORN SHOP LN",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CORN SHOP LN",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386401",
            "telephone_number": "207-778-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MA",
            "license": "11146",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "3625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Charlene Campbell, MD
• Peter S. Campion, M.D.
• Meghan Carroll, PT
• Tobin Moon Carson, D.O.
• Joseph David Caruso, MD
• Mary-Anne Jean Castonguay, SLP
• Dean A Chancey, D.C.
• Joanne A Chancey, D.C.
• Rebecca Chandler, PMHNP CS
• Kenneth O Cho, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.