Healthcare Provider Details
I. General information
NPI: 1053215327
Provider Name (Legal Business Name): HOMETOWN HYGIENE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
715 STARKS RD
NEW SHARON ME
04955-3237
US
IV. Provider business mailing address
715 STARKS RD
NEW SHARON ME
04955-3237
US
V. Phone/Fax
- Phone: 207-745-9306
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
GERI
HARKINS
Title or Position: OWNER
Credential: IPDH
Phone: 207-745-9306