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General NPI Number Information
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NPI Number | 1770371130
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Entity Type | Organization
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Legal Business Name | SUNSTONE DENTAL HYGIENE LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 195 STATE ST
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City | BANGOR
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State | ME
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Zip | 04401-5410
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Country | US
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Telephone | 207-945-1549
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Fax | 207-401-3166
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Provider Business Mailing Address
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Address Line | 195 STATE ST
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City | BANGOR
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State | ME
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Zip | 04401-5410
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Country | US
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Telephone | 207-945-1549
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Fax | 207-401-3166
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Authorized Official
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Title or Position | RDH, IPDH
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Name | SHANNON ADAMS
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Credential |
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Telephone | 207-356-2155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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