Provider Demographics
NPI:1083830905
Name:PRADO -ONA, CATHERINE MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:PRADO -ONA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:PRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 JOHN NEIL DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-2513
Mailing Address - Country:US
Mailing Address - Phone:617-966-7983
Mailing Address - Fax:
Practice Address - Street 1:1410 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1673
Practice Address - Country:US
Practice Address - Phone:781-417-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0297755OtherMASS HEALTH