Provider Demographics
NPI:1568634004
Name:MOTEN, DAWN FRANCES
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:FRANCES
Last Name:MOTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NEWMAN AVE #9002
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916
Mailing Address - Country:US
Mailing Address - Phone:401-432-6275
Mailing Address - Fax:401-383-8165
Practice Address - Street 1:20 NEWMAN AVE #9002
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:RI
Practice Address - Zip Code:02916
Practice Address - Country:US
Practice Address - Phone:401-432-6275
Practice Address - Fax:401-383-8165
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244345207Q00000X
RI13558207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine