Organization Name: | SWEET SMILES DENTAL HYGIENE LLC |
NPI Number: | 1063885036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHANIE RENEE SWETT (OWNER) |
Mailing Address: | 248 State St Ste 11 Ellsworth |
State: | ME US |
Postal Code: | 046051850 |
Phone Number: | 2076678263 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 11/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | IPH46 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |