Provider Demographics
NPI:1720239957
Name:SAULTER, LINDA FAY (IPDH)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:FAY
Last Name:SAULTER
Suffix:
Gender:F
Credentials:IPDH
Other - Prefix:MRS
Other - First Name:LINDA
Other - Middle Name:FAY
Other - Last Name:SAULTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IPDH
Mailing Address - Street 1:81 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7338
Mailing Address - Country:US
Mailing Address - Phone:207-861-8080
Mailing Address - Fax:207-861-7900
Practice Address - Street 1:81 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-7338
Practice Address - Country:US
Practice Address - Phone:207-861-8080
Practice Address - Fax:207-861-7900
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEIPH4124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist