Teresa K Crandall, RDH, BSDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

RDH 3114 Issued in ME

Practice address

26 Main Street
Limerick, ME 04048

Phone

(207) 793-8881

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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.

• Village Smiles

  • Dental Hygienist
  • Limerick, ME
  • NPI 1386922565
  NPD (past) Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1942597364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MAIN ST",
            "city": "LIMERICK",
            "state": "ME",
            "postal_code": "040483534",
            "telephone_number": "207-793-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAIN STREET",
            "city": "LIMERICK",
            "state": "ME",
            "postal_code": "04048",
            "telephone_number": "207-793-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "TERESA",
        "middle_name": "K",
        "credential": "RDH, BSDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "RDH 3114",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "ME",
            "license": "LAN322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Acheson, RDH
• Adventure Counseling
• Jessica Deleon, RN, CNOR, RNFA
• Riley VM Gaetjens
• Galbraith Family Medicine, LLC
• David W Galbraith, MD
• Kathryn Galbraith, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.