Otero, Misael Josue
Otero, Misael Josue is an individual health care provider with primary practice located at 509 Olde Waterford Way Suite 300, Leland NC 28451-4125. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Otero, Misael Josue can be contacted via phone (910) 383-0100.Contact Information
Primary practice address
509 Olde Waterford Way Suite 300
Leland NC 28451-4125
Phone: (910) 383-0100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 8019 | North Carolina |
Profile Details
| NPI number | 1023116852 |
|---|---|
| LBN Legal business name | Otero, Misael Josue |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023116852 | NPPES |
| North Carolina | MEDICAID | 5901132 |
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