Provider Demographics
NPI:1225486814
Name:CARREON, EMAN ISABELLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:EMAN
Middle Name:ISABELLE
Last Name:CARREON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:EMAN
Other - Middle Name:
Other - Last Name:OUABIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:29 BRIALLIA CIR
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2194
Mailing Address - Country:US
Mailing Address - Phone:617-708-5720
Mailing Address - Fax:
Practice Address - Street 1:61 NH 27
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:NH
Practice Address - Zip Code:03077-1273
Practice Address - Country:US
Practice Address - Phone:603-895-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857222122300000X
NH04270122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist