MINT PREVENTATIVE DENTAL SPA CORNISH PLLC NPI 1033920798

NPI Information

  • NPI: 1033920798
  • Provider Name: MINT PREVENTATIVE DENTAL SPA CORNISH PLLC
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Organization
  • Address: 19 PORTLAND ST STE 107
    FRYEBURG, ME
    ZIP 04037
  • Phone: (207) 810-6019

Map and Directions

Get Directions

NPI Details

MINT PREVENTATIVE DENTAL SPA CORNISH PLLC is a dental hygienist in Fryeburg, ME. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. MINT PREVENTATIVE DENTAL SPA CORNISH PLLC NPI is 1033920798. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19 PORTLAND ST STE 107
FRYEBURG, ME
ZIP 04037-294
Phone: (207) 810-6019
Fax: (570) 218-7857

The provider's authorized official is Jennifer Davis .
The authorized official title is Owner and has the following contact phone number (603) 682-3295.

The enumeration date for this NPI number is 1/14/2025 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental HygienistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.