Provider Demographics
NPI:1740584952
Name:CARA L DONLEY DMD PC
Entity Type:Organization
Organization Name:CARA L DONLEY DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-443-8833
Mailing Address - Street 1:327B BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-3061
Mailing Address - Country:US
Mailing Address - Phone:978-443-8833
Mailing Address - Fax:978-443-8843
Practice Address - Street 1:327B BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-3061
Practice Address - Country:US
Practice Address - Phone:978-443-8833
Practice Address - Fax:978-443-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19854261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental