Provider Demographics
NPI:1306722848
Name:RIVER VALLEY SMILES
Entity type:Organization
Organization Name:RIVER VALLEY SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNING
Authorized Official - Suffix:
Authorized Official - Credentials:RDH, IPDH
Authorized Official - Phone:207-357-3814
Mailing Address - Street 1:11 NOVA ST
Mailing Address - Street 2:
Mailing Address - City:DIXFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04224-9567
Mailing Address - Country:US
Mailing Address - Phone:207-357-3814
Mailing Address - Fax:
Practice Address - Street 1:4 MAIN ST.
Practice Address - Street 2:
Practice Address - City:DIXFIELD
Practice Address - State:ME
Practice Address - Zip Code:04224-0422
Practice Address - Country:US
Practice Address - Phone:207-357-3814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental