Estrada, Gloria Enibette

Estrada, Gloria Enibette is an individual health care provider with primary practice located at 6 Professional Dr , Snow Hill NC 28580-1333. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Estrada, Gloria Enibette can be contacted via phone (252) 747-3846.

Contact Information

Primary practice address
6 Professional Dr Snow Hill NC 28580-1333
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8646 North Carolina
Dental Providers / General Practice 1223G0001X 2803 Puerto Rico
Dental Providers / General Practice 1223G0001X 8646 North Carolina

Profile Details

NPI number 1336318922
LBN Legal business name Estrada, Gloria Enibette
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Feb 1st, 2023 - about last year

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 1336318922 NPPES
North Carolina MEDICAID 5910631

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