|
| |
|
14057 Us Highway 17 Suite 120 Hampstead NC 28443 | |
| (910) 270-9344 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14057 Us Highway 17, Hampstead, North Carolina |
| Authorized Official Name and Position | Misael J Otero (DENTIST, OWNER) |
| Authorized Official Contact | 9102709344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
14057 Us Highway 17 Suite 120 Hampstead NC 28443 Ph: (910) 270-9344 | 14057 Us Highway 17 Suite 120 Hampstead NC 28443 Ph: (910) 270-9344 |
| NPI Number | 1023266954 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023266954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8019 (North Carolina) | Primary |
| 261QD0000X | Clinic/center - Dental | 8058 (North Carolina) | Secondary |
Monica M. Pierpan, Dds, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17097 Us Highway 17, Hampstead, NC 28443 Phone: 910-270-1222 Fax: 910-270-1333 |