Provider Demographics
NPI:1487537643
Name:COASTAL DENTAL HYGIENE STUDIO
Entity type:Organization
Organization Name:COASTAL DENTAL HYGIENE STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALANO
Authorized Official - Suffix:
Authorized Official - Credentials:IPDH
Authorized Official - Phone:207-542-6044
Mailing Address - Street 1:1 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:ME
Mailing Address - Zip Code:04847-3453
Mailing Address - Country:US
Mailing Address - Phone:207-542-6044
Mailing Address - Fax:
Practice Address - Street 1:330 COMMERCIAL ST STE B
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4400
Practice Address - Country:US
Practice Address - Phone:207-542-6044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty