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General NPI Number Information
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NPI Number | 1154104925
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Entity Type | Organization
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Legal Business Name | WILDFLOWER NATURAL DENTAL HYGIENE
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 23 SPRING ST
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City | DEXTER
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State | ME
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Zip | 04930-1325
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Country | US
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Telephone | 207-717-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 1422 BEAR HILL RD
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-3113
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Country | US
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Telephone | 207-717-3141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN REINIGER
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Credential | IPDH
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Telephone | 207-717-3141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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