Provider Demographics
NPI:1699655977
Name:BLUE BLISS DENTAL WELLNESS LLC.
Entity type:Organization
Organization Name:BLUE BLISS DENTAL WELLNESS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/INDEPENDENT DENTAL HYGIENIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOSERING
Authorized Official - Middle Name:MBOLLE
Authorized Official - Last Name:ALOBWEDE
Authorized Official - Suffix:
Authorized Official - Credentials:IPDH/LASER CERTIFIED
Authorized Official - Phone:207-443-3949
Mailing Address - Street 1:11 ROCK ROW
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4877
Mailing Address - Country:US
Mailing Address - Phone:207-443-3949
Mailing Address - Fax:
Practice Address - Street 1:11 ROCK ROW
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4877
Practice Address - Country:US
Practice Address - Phone:207-443-3949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty