Provider Demographics
NPI:1215050174
Name:DUMAIS, DONALD MARK (DDS)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MARK
Last Name:DUMAIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CARDINAL DR
Mailing Address - Street 2:
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-5708
Mailing Address - Country:US
Mailing Address - Phone:603-715-5208
Mailing Address - Fax:603-622-6073
Practice Address - Street 1:155 DOW ST
Practice Address - Street 2:SUITE 401
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1299
Practice Address - Country:US
Practice Address - Phone:603-622-6073
Practice Address - Fax:603-622-8350
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2287122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist