ELIZABETH SULLIVAN RDH
NPI 1417611047
Dental Hygienist in Portland, ME

Q: What is Elizabeth Sullivan's NPI number?

The NPI number for Elizabeth Sullivan is 1417611047. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Q: What is Elizabeth Sullivan's specialty?

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

Active since October 29, 2021

63 PREBLE ST, PORTLAND, ME 04101(207) 874-2141(207) 874-2164 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Elizabeth Sullivan Rdh NPPES

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

ELIZABETH SULLIVAN RDH (NPI 1417611047) is an individual dental hygienist in Portland, Maine, licensed in Maine (RDH4393) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417611047

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameELIZABETH SULLIVANCredential: RDH

Location Address63 PREBLE STPortland, ME 04101-3014

Mailing Address180 Park Ave Ste 1Portland, ME 04102-2927 · (207) 874-2141 · Fax (207) 874-2164

Phone(207) 874-2141

Fax(207) 874-2164

Sole ProprietorNo

Enumeration DateOctober 29, 2021

NPPES CertifiedOctober 29, 2021

✔ NPI 1417611047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in ME · RDH4393

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.

63 PREBLE ST, Portland, ME 04101

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PORTLAND COMMUNITY HEALTH CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))