Healthcare Provider Details

I. General information

NPI: 1891659967
Provider Name (Legal Business Name): SOOTHING SMILES DENTAL HYGIENE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

40 LANDMARK HILL LN UNIT 1
KITTERY ME
03904-2100
US

IV. Provider business mailing address

40 LANDMARK HILL LN UNIT 1
KITTERY ME
03904-2100
US

V. Phone/Fax

Practice location:
  • Phone: 207-703-3927
  • Fax:
Mailing address:
  • Phone: 207-703-3927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: HALEY ROY
Title or Position: DENTAL HYGIENIST/MASSAGE THERAPIST
Credential: IPDH,LMT
Phone: 207-703-3927