Provider Demographics
NPI:1457518979
Name:DONA, MARIA (DMD, MSD, DMSC)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DONA
Suffix:
Gender:F
Credentials:DMD, MSD, DMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STEVENS ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-6516
Mailing Address - Country:US
Mailing Address - Phone:978-475-0567
Mailing Address - Fax:978-475-7169
Practice Address - Street 1:2 STEVENS ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-6516
Practice Address - Country:US
Practice Address - Phone:978-475-0567
Practice Address - Fax:978-475-7169
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18559711223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics