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THEODORE G. MUCHITENI DMD PA NPI 1700803228


NPI Information

NPI: 1700803228
Provider Name: THEODORE G. MUCHITENI, DMD, PA

Other Name: GREENVILLE ORAL & MAXILLOFACIAL SURGEONS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2300 HEMBY LN
GREENVILLE, NC
ZIP 27834
Phone: (252) 830-0201
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THEODORE G. MUCHITENI, DMD, PA is an oral and maxillofacial surgery dentist in Greenville, NC. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. THEODORE G. MUCHITENI, DMD, PA NPI is 1700803228. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Greenville Oral & Maxillofacial Surgeons.

The provider's business location address is:

2300 HEMBY LN
GREENVILLE, NC
ZIP 27834-775
Phone: (252) 830-0201
Fax: (252) 830-2052

The provider's authorized official is Theodore Gabriel Muchiteni .
The authorized official title is Owner/doctor and has the following contact phone number (252) 830-0201.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery5566NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16996278MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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