Active NPIIndividual provider

Dr. Marietta Donahue, DDS

Dentist in Bridgeton, New Jersey

NPI Number1164563367
Practice location
21 No Burlington RD, Southwood State Prison Allcare, Bridgeton, NJ 08302
Fax
—
Last updated
July 8, 2007

Marietta Donahue is a Dentist based in Bridgeton, NJ. Marietta Donahue practices in Bridgeton, NJ and has the professional credentials of DDS. The NPI Number for Marietta Donahue is 1164563367 and holds a License No. 220101238000 (NJ). The current practice location address for Marietta Donahue is 21 No Burlington RD, Southwood State Prison Allcare, Bridgeton, NJ 08302 and can be reached out via phone at 856-459-7206.

Provider Profile Details

NPI Number
1164563367
Provider Name
Marietta Donahue
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
21 No Burlington RD, Southwood State Prison Allcare, Bridgeton, NJ 08302
Phone Number
856-459-7206
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 No Burlington RD
Southwood State Prison Allcare
Bridgeton, NJ 08302
Zip
08302
Phone Number
856-459-7206
Bridgeton, NJ 08302Get directions →

Provider Business Mailing Address Details

Address
10 Dickans Lane
Mt Laurel, NJ 08054
City
Mt Laurel
State
NJ
Zip
08054
Phone Number
856-727-1370

License Information

License Number
220101238000
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marietta Donahue, DDS?

The NPI number of Dr. Marietta Donahue, DDS is 1164563367. It was assigned on February 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Marietta Donahue, DDS?

Dr. Marietta Donahue, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 220101238000.

Where does Dr. Marietta Donahue, DDS practice?

The practice location is 21 No Burlington RD, Southwood State Prison Allcare, Bridgeton, NJ 08302. The office can be reached at 856-459-7206 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164563367 directly on the NPPES registry website.

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