Provider Demographics
NPI:1053614289
Name:MARONE, ANGELA LEHMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:LEHMAN
Last Name:MARONE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 WILLIS ST
Mailing Address - Street 2:UNIT 100
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470
Mailing Address - Country:US
Mailing Address - Phone:910-754-7700
Mailing Address - Fax:
Practice Address - Street 1:301 WILLIS ST
Practice Address - Street 2:UNIT 100
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470
Practice Address - Country:US
Practice Address - Phone:910-754-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND128551223G0001X
NC134861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice