Provider Demographics
NPI:1114092848
Name:DAHNE, MARLENE Z (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:Z
Last Name:DAHNE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4362 MARY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-4300
Mailing Address - Country:US
Mailing Address - Phone:410-521-2145
Mailing Address - Fax:
Practice Address - Street 1:4 E ROLLING CROSSROADS
Practice Address - Street 2:SUITE 104
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6210
Practice Address - Country:US
Practice Address - Phone:410-747-2566
Practice Address - Fax:410-747-4776
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD073391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice