Villanueva, Ofelia V

Villanueva, Ofelia V is an individual health care provider with primary practice located at 52 Greenleaf St , Quincy MA 02169-4411. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Villanueva, Ofelia V can be contacted via phone (617) 471-2616.

Contact Information

Primary practice address
52 Greenleaf St Quincy MA 02169-4411
Fax: (617) 471-2616
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 17807 Massachusetts

Profile Details

NPI number 1851436372
LBN Legal business name Villanueva, Ofelia V
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2007
Last updated Jul 21st, 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 1851436372 NPPES
Massachusetts MEDICAID 043125130

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