Provider Demographics
NPI:1467252684
Name:FLOSSED LLC
Entity type:Organization
Organization Name:FLOSSED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/IPDH
Authorized Official - Prefix:
Authorized Official - First Name:BRITTA
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:GRIFFITHS
Authorized Official - Suffix:
Authorized Official - Credentials:IPDH
Authorized Official - Phone:207-412-0200
Mailing Address - Street 1:130 OAK ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1668
Mailing Address - Country:US
Mailing Address - Phone:207-412-0200
Mailing Address - Fax:
Practice Address - Street 1:130 OAK ST STE 4
Practice Address - Street 2:
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1668
Practice Address - Country:US
Practice Address - Phone:207-412-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty