Provider Demographics
NPI:1649391814
Name:ARENA, DAWN MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:MARIE
Last Name:ARENA
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 1:3400 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3717
Mailing Address - Country:US
Mailing Address - Phone:239-234-6368
Mailing Address - Fax:239-384-9291
Practice Address - Street 1:3400 TAMIAMI TRL N
Practice Address - Street 2:SUITE 301
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-3717
Practice Address - Country:US
Practice Address - Phone:239-234-6368
Practice Address - Fax:239-384-9291
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN142541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice