Provider Demographics
NPI:1003145095
Name:SAVING SMILES, INC
Entity Type:Organization
Organization Name:SAVING SMILES, INC
Other - Org Name:SAVING SMILES OF MAINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOWETT
Authorized Official - Suffix:
Authorized Official - Credentials:RDH, BSDH, IPDH
Authorized Official - Phone:207-445-2852
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:28 SMITH ROAD SUITE #1
Mailing Address - City:WINDSOR
Mailing Address - State:ME
Mailing Address - Zip Code:04363-0119
Mailing Address - Country:US
Mailing Address - Phone:207-445-2852
Mailing Address - Fax:
Practice Address - Street 1:28 SMITH RD
Practice Address - Street 2:SUITE #1
Practice Address - City:WINDSOR
Practice Address - State:ME
Practice Address - Zip Code:04363-3737
Practice Address - Country:US
Practice Address - Phone:207-445-2852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-22
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEIPH61124Q00000X
MERDH2532124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME431892100Medicare PIN