Provider Demographics
NPI:1164978896
Name:DONAHOWER, CLAIRE ADRIENNE (RDH)
Entity Type:Individual
Prefix:MISS
First Name:CLAIRE
Middle Name:ADRIENNE
Last Name:DONAHOWER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 PERSHING BLVD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-1514
Mailing Address - Country:US
Mailing Address - Phone:610-698-2632
Mailing Address - Fax:
Practice Address - Street 1:318 PERSHING BLVD
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19607-1514
Practice Address - Country:US
Practice Address - Phone:610-698-2632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADH068455124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist