Healthcare Provider Details

I. General information

NPI: 1265345391
Provider Name (Legal Business Name): POLISHED DENTAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MAYVILLE RD
BETHEL ME
04217-4400
US

IV. Provider business mailing address

PO BOX 1405
BETHEL ME
04217-1405
US

V. Phone/Fax

Practice location:
  • Phone: 207-824-1079
  • Fax:
Mailing address:
  • Phone: 207-357-2952
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: TARA SAVAGE
Title or Position: OWNER
Credential: IPDH
Phone: 207-824-1079