MINT PREVENTATIVE DENTAL SPA, PLLC
NPI 1609502830
Clinic/Center - Dental in Berwick, ME

Q: What is Mint Preventative Dental Spa, PLLC's NPI number?

The NPI number for Mint Preventative Dental Spa, PLLC is 1609502830. It was assigned to this organization in the NPPES registry on July 29, 2022.

Q: What is Mint Preventative Dental Spa, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since July 29, 2022

12 SULLIVAN ST STE 107, BERWICK, ME 03901(207) 810-6019 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, May 1, 2023, Jul 29, 2022 (3 updates tracked since 2022).

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About Mint Preventative Dental Spa, Pllc NPPES

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

MINT PREVENTATIVE DENTAL SPA, PLLC (NPI 1609502830) is a healthcare organization registered as a dental in Berwick, Maine and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Fryeburg and lists Daniele West, Owner, as its authorized official.

NPPES Registry Identity

NPI1609502830

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameMINT PREVENTATIVE DENTAL SPA, PLLC

Location Address12 SULLIVAN ST STE 107Berwick, ME 03901-2925

Mailing Address12 Sullivan St Ste 107Berwick, ME 03901-2925 · (207) 810-6019

Phone(207) 810-6019

Organization SubpartNo

Authorized OfficialDaniele WestOwner · (603) 986-3139

Enumeration DateJuly 29, 2022

Last NPPES UpdateApril 1, 20253 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1609502830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

12 SULLIVAN ST STE 107, Berwick, ME 03901

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Secondary Practice Location 1

Location 119 Portland StFryeburg, ME 04037-1294 · Phone (207) 256-7606

Other Providers at the Same Location NPPES

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

SHANNON CHRISTINE TABER RDH, IPDH

Dental Hygienist

12 SULLIVAN ST STE 107
BERWICK, ME 03901

York County (207) 810-6019

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, PLLC's NPI number?

The NPI number for Mint Preventative Dental Spa, PLLC is 1609502830. It was assigned to this organization in the NPPES registry on July 29, 2022.

Where is Mint Preventative Dental Spa, PLLC located?

Mint Preventative Dental Spa, PLLC is located at 12 Sullivan St Ste 107, Berwick, ME 03901. The listed phone number is (207) 810-6019.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mint Preventative Dental Spa, PLLC was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.