MINT PREVENTATIVE DENTAL SPA CORNISH PLLC
NPI 1033920798
Dental Hygienist in Fryeburg, ME

Active since January 14, 2025
19 PORTLAND ST STE 107, FRYEBURG, ME 04037(207) 810-6019(570) 218-7857 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mint Preventative Dental Spa Cornish Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINT PREVENTATIVE DENTAL SPA CORNISH PLLC (NPI 1033920798), doing business as Fryeburg Family Dental, is a healthcare organization registered as a dental hygienist in Fryeburg, Maine and active in the NPI registry since January 2025. The organization lists Jennifer Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1033920798
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameMINT PREVENTATIVE DENTAL SPA CORNISH PLLC
Location Address19 PORTLAND ST STE 107Fryeburg, ME 04037-1294
Mailing Address12 Sullivan St Ste 107Berwick, ME 03901-2925 · (207) 810-6019 · Fax (570) 218-7857
Fax(570) 218-7857
Organization SubpartNo
Authorized OfficialJennifer DavisOwner · (603) 682-3295
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1033920798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
19 PORTLAND ST STE 107, Fryeburg, ME 04037

Other Names 1

Doing Business AsFryeburg Family Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mint Preventative Dental Spa Cornish PLLC's NPI number?

The NPI number for Mint Preventative Dental Spa Cornish PLLC is 1033920798. It was assigned to this organization in the NPPES registry on January 14, 2025. The provider is doing business as Fryeburg Family Dental.

Where is Mint Preventative Dental Spa Cornish PLLC located?

Mint Preventative Dental Spa Cornish PLLC is located at 19 Portland St Ste 107, Fryeburg, ME 04037. The listed phone number is (207) 810-6019.

What is Mint Preventative Dental Spa Cornish PLLC's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Mint Preventative Dental Spa Cornish PLLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.