Healthcare Provider Details

I. General information

NPI: 1962315044
Provider Name (Legal Business Name): TRISHA ANDERSON RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

113 MAIN RD
HOLDEN ME
04429-7128
US

IV. Provider business mailing address

3 ANDERSON WAY
DEDHAM ME
04429-4255
US

V. Phone/Fax

Practice location:
  • Phone: 207-843-3545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberRDH2771
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: