NPI 1093151516

Libbi a Rideout

Practitioner Dental Assistant Millinocket, ME

Practice location

Address: 50 Summer St, Millinocket, ME 04462-1400
Phone: (207) 528-2285
Fax: (207) 528-2880
Mailing address: PO Box 500, Patten, ME 04765-0500

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence RAD2906 (ME)

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Registry record

NPI: 1093151516
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2013
Record last updated: 13 May 2013

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.