Provider Demographics
NPI:1558971531
Name:LAMONTAGNE, KATHLEEN CAREW (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:CAREW
Last Name:LAMONTAGNE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 WHITE PINE LN
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-8100
Mailing Address - Country:US
Mailing Address - Phone:603-682-3874
Mailing Address - Fax:
Practice Address - Street 1:252 JEWETT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2823
Practice Address - Country:US
Practice Address - Phone:603-622-7973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-05
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH045781223G0001X, 1223G0001X
PA0434931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice