THE TRAVELING TOOTHFAIRY, LLC – NPI #1033691464
Clinic/Center

THE TRAVELING TOOTHFAIRY, LLC is an AHC clinic located in LUNENBURG, MA. NPPES has assigned the NPI number 1033691464 to THE TRAVELING TOOTHFAIRY, LLC on September 01, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was last updated on Dec 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE TRAVELING TOOTHFAIRY, LLC below.

NPI Profile for
THE TRAVELING TOOTHFAIRY, LLC

NPI Number
1033691464
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE TRAVELING TOOTHFAIRY, LLC
Primary location
9 FIRE ROAD 15A
LUNENBURG, MA 01462
Phone: (508) 596-3506 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARCY FOREMAN
OWNER
Phone: (508) 596-3506
Updated
Certification Date
Dec 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 MA 10543

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.