Healthcare Provider Details

I. General information

NPI: 1700723632
Provider Name (Legal Business Name): MARANACOOK COMMUNITY DENTAL HYGIENE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 LEDGEWOOD DR
READFIELD ME
04355-3381
US

IV. Provider business mailing address

47 LEDGEWOOD DR
READFIELD ME
04355-3381
US

V. Phone/Fax

Practice location:
  • Phone: 207-240-9977
  • Fax:
Mailing address:
  • Phone: 207-240-9977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: CHELSEY LABRIE
Title or Position: OWNER
Credential: RDH, IPDH
Phone: 207-240-9977