Healthcare Provider Details

I. General information

NPI: 1346043858
Provider Name (Legal Business Name): ANA CAROLINE ALCANTARA SERRAO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 PORTSMOUTH AVE UNIT D
EXETER NH
03833-2144
US

IV. Provider business mailing address

44 MCKAY DR APT 410
EXETER NH
03833-1588
US

V. Phone/Fax

Practice location:
  • Phone: 603-605-8917
  • Fax:
Mailing address:
  • Phone: 580-307-6243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN10001477
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number05393
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number11247
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: