Provider Demographics
NPI:1205135928
Name:BUTTERFIELD, AUDREY CARNEY (RDH)
Entity type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:CARNEY
Last Name:BUTTERFIELD
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 1:134 LINCOLN RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04493-4247
Mailing Address - Country:US
Mailing Address - Phone:207-732-4829
Mailing Address - Fax:
Practice Address - Street 1:195 CIDER HILL RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:ME
Practice Address - Zip Code:04435-3030
Practice Address - Country:US
Practice Address - Phone:207-270-1454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH2784124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist