Muchiteni, Theodore Gabriel

Muchiteni, Theodore Gabriel is an individual health care provider with primary practice located at 2300 Hemby Ln , Greenville NC 27834-3775. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Muchiteni, Theodore Gabriel can be contacted via phone (252) 830-0201.

Contact Information

Primary practice address
2300 Hemby Ln Greenville NC 27834-3775
Phone: (252) 830-0201
Fax: (252) 830-2052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5566 North Carolina

Profile Details

NPI number 1366444085
LBN Legal business name Muchiteni, Theodore Gabriel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 13th, 2008 - about 16 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 1366444085 NPPES
North Carolina Other 69278 BLUE CROSS BLUE SHIELD OF
North Carolina Other 523612 BLUE CROSS BLUE SHIELD OF
North Carolina MEDICAID 6996278 BLUE CROSS BLUE SHIELD OF
North Carolina Other 208734 BLUE CROSS BLUE SHIELD OF

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