Healthcare Provider Details

I. General information

NPI: 1528293123
Provider Name (Legal Business Name): MEGAN E HIGGINS LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2009
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 HARRINGTON RD
WALPOLE ME
04573-3208
US

IV. Provider business mailing address

40 HARRINGTON RD
WALPOLE ME
04573-3208
US

V. Phone/Fax

Practice location:
  • Phone: 207-563-3368
  • Fax:
Mailing address:
  • Phone: 207-563-3368
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122400000X
TaxonomyDenturist
License Number5510
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: