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NPI Code Detail

MEDICARE: DENISE I QUINLAN RDH

MEDICARE:   DENISE I QUINLAN  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistRDH2979ME

General Provider Information

NPI Number : 1104542562
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE I QUINLAN RDH
Provider Business Mailing Address
First Line : 3 OLD POINT AVE
Second Line :
City : MADISON
State : ME
Zip : 04950-1114
Country : US
Telephone Number : 207-861-8080
Fax Number :
Provider Business Practice Location Address
First Line : 3 OLD POINT AVE
Second Line :
City : MADISON
State : ME
Zip : 04950-1114
Country : US
Telephone Number : 207-861-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2022
Last Update Date : 10/18/2022

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Directions to “ DENISE I QUINLAN RDH” Practice Location

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