MEDICARE: MOLLY MORIN 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
1	124Q00000X	Dental Hygienist	03303	NH

General Provider Information

NPI Number	:	1194600262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOLLY MORIN RDH

Provider Business Mailing Address
First Line	:	270 CENTRE ST
Second Line	:
City	:	SULLIVAN
State	:	NH
Zip	:	03445-4112
Country	:	US
Telephone Number	:	603-465-1865
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 CENTRE ST
Second Line	:
City	:	SULLIVAN
State	:	NH
Zip	:	03445-4112
Country	:	US
Telephone Number	:	603-465-1865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	08/07/2025

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Directions to “ MOLLY MORIN RDH” Practice Location

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