Provider Demographics
NPI:1053648733
Name:DIONNE, CARA (RDH)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:DIONNE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:
Other - Last Name:RAWSTRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:76 MIDDLESEX RD
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1856
Mailing Address - Country:US
Mailing Address - Phone:207-577-8854
Mailing Address - Fax:
Practice Address - Street 1:6 FUNDY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1779
Practice Address - Country:US
Practice Address - Phone:207-781-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME3537124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME434935399Medicaid