Provider Demographics
NPI:1942895727
Name:TOOLE, JUNE MARY (RDH)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:MARY
Last Name:TOOLE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:MARY
Other - Last Name:DAMIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:192 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401
Mailing Address - Country:US
Mailing Address - Phone:207-951-2455
Mailing Address - Fax:
Practice Address - Street 1:27 WESTERN AVENUE
Practice Address - Street 2:
Practice Address - City:HAMPDEN
Practice Address - State:ME
Practice Address - Zip Code:04444
Practice Address - Country:US
Practice Address - Phone:207-862-2600
Practice Address - Fax:207-862-2602
Is Sole Proprietor?:No
Enumeration Date:2021-03-04
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2744124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist