Maine Tiny Dental Eliot LLC

NPI #1558249219 in Eliot, Maine

Provider Information

NPI Number: 1558249219
Entity Type: Organization
Organization Name: Maine Tiny Dental Eliot LLC
Primary Specialty: Dental Hygienist
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 150 DOW HWY
City: Eliot
State: Maine
ZIP Code: 03903-2091
Phone: (207) 500-3673

Authorized Official

Name: KELLI DESOUZA
Title: IPDH/OWNER/PRESIDENT
Phone: (207) 500-1525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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