Healthcare Provider Details

I. General information

NPI: 1982568127
Provider Name (Legal Business Name): REGINA AREY IPDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MIDDLE ST
AUGUSTA ME
04330-5229
US

IV. Provider business mailing address

11 MIDDLE ST
AUGUSTA ME
04330-5229
US

V. Phone/Fax

Practice location:
  • Phone: 207-560-9200
  • Fax:
Mailing address:
  • Phone: 207-560-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberRDH4126
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: