Bustillo, Martha
Bustillo, Martha is an individual health care provider with primary practice located at 7221 Hanover Pkwy Suite A, Greenbelt MD 20770-2022. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Bustillo, Martha can be contacted via phone (301) 345-2222.Contact Information
Primary practice address
7221 Hanover Pkwy Suite A
Greenbelt MD 20770-2022
Phone: (301) 345-2222
Fax: (301) 345-1682
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 12200 | Maryland |
Profile Details
NPI number | 1265634133 |
---|---|
LBN Legal business name | Bustillo, Martha |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2007 |
Last updated | Dec 15th, 2022 - about 3 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 | 1265634133 | NPPES |
Maryland | MEDICAID | 1265634133 |
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