Provider Demographics
NPI:1194966002
Name:MAROON, DOROTHY MARGARET (RDH)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:MARGARET
Last Name:MAROON
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 1:12 LAFRINEA LN
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04274-6158
Mailing Address - Country:US
Mailing Address - Phone:207-998-3500
Mailing Address - Fax:
Practice Address - Street 1:12 LAFRINEA LN
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:ME
Practice Address - Zip Code:04274-6158
Practice Address - Country:US
Practice Address - Phone:207-998-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERDH2546124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME188720000OtherMAINE CARE