Individual
MRS. TRACEY L JOWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BSDH, IPDH
Contact information
Practice address
28 SMITH RD, SUITE #1, WINDSOR, ME 04363-3737
(207) 445-2852
Mailing address
28 SMITH RD, WINDSOR, ME 04363-3737
(207) 445-2852
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
IPH61
ME
124Q00000X
Dental Hygienist
Primary
RDH2532
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431944500
—
ME
Enumeration date
05/20/2009
Last updated
03/11/2021
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