ASHLEY DAWN SOUCY LD NPI 1801560842

NPI Information

NPI: 1801560842
Provider Name: ASHLEY DAWN SOUCY, LD
Classification: Denturist - 122400000X
Entity Type: Individual
Address:
980 FOREST AVE STE 104
PORTLAND, ME
ZIP 04103
Phone: (207) 774-7645
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Ashley Dawn Soucy, LD is a denturist in Portland, ME. The provider is definition to come. Ashley Dawn Soucy, LD NPI is 1801560842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

980 FOREST AVE STE 104
PORTLAND, ME
ZIP 04103-357
Phone: (207) 774-7645

The enumeration date for this NPI number is 8/3/2021 and was last updated on 8/3/2021.

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
1	122400000X	Denturist		DTR5539	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DTR5539	OTHER	MAINE	STATE OF MAINE DENTAL BOARD

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: 11/14/2023

NPI Synchronization or Removal

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