FRYEBURG FAMILY DENTAL NPI 1538541727

NPI Details

FRYEBURG FAMILY DENTAL 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. FRYEBURG FAMILY DENTAL NPI is 1538541727. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bernadette Kozak.

The provider's business location address is:

19 PORTLAND ST
FRYEBURG, ME
ZIP 04037-205
Phone: (207) 256-7606
Fax: (207) 256-8086

The provider's authorized official is Bernadette Kozak .
The authorized official title is Owner/operator and has the following contact phone number (207) 256-7606.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/24/2015.

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: