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NPI Code Detail

MEDICARE: MRS. BRITTANI PENNA RDH

MEDICARE: MRS. BRITTANI PENNA 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 HygienistRDH4086ME

General Provider Information

NPI Number : 1982582250
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANI PENNA RDH
Provider Business Mailing Address
First Line : 66 STONEY ACRES RD
Second Line :
City : PITTSTON
State : ME
Zip : 04345-6607
Country : US
Telephone Number : 207-399-0362
Fax Number :
Provider Business Practice Location Address
First Line : 11 MIDDLE ST APT 1
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-5229
Country : US
Telephone Number : 207-560-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2025
Last Update Date : 08/25/2025

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Directions to “ MRS. BRITTANI PENNA RDH” Practice Location

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