NPI 1033920798

Mint Preventative Dental Spa Cornish PLLC

Organisation Dental Hygienist Fryeburg, ME

Practice location

Address: 19 Portland St STE 107, Fryeburg, ME 04037-1294
Phone: (207) 810-6019
Fax: (570) 218-7857
Mailing address: 12 Sullivan St STE 107, Berwick, ME 03901-2925

Authorised official

Name: Jennifer Davis
Title: Owner
Phone: (603) 682-3295

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

Other Dental Hygienist providers in Maine →

Registry record

NPI: 1033920798
Entity type: Organization
NPI issued: 14 Jan 2025
Record last updated: 14 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.