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
Fax: (301) 345-1682
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265634133 NPPES
Maryland MEDICAID 1265634133

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