=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063325090
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RACHEL RICHARDS RDH
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2026
-----------------------------------------------------
Last Update Date | 09/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 154 MAIN ST
-----------------------------------------------------
City | BUCKSPORT
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04416-4075
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-469-2912
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16 OLD COUNTY RD
-----------------------------------------------------
City | ETNA
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04434-3813
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 124Q00000X
-----------------------------------------------------
Taxonomy Name | Dental Hygienist
-----------------------------------------------------
License Number | RDH4428
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------