Provider Demographics
NPI:1114579539
Name:CARERE, MELISSA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:CARERE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PINEHILLS DR APT 1407
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-7830
Mailing Address - Country:US
Mailing Address - Phone:617-513-2597
Mailing Address - Fax:
Practice Address - Street 1:335 COTUIT RD
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-5122
Practice Address - Country:US
Practice Address - Phone:508-403-0595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18583411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice