Active NPIIndividual provider

Heddinah Otete, DENTAL GRADUATE

Dentist in Malden, Massachusetts

NPI Number1255063251
Practice location
44 Greenwood St, Malden, MA 02148-2121
Fax
—
Last updated
August 3, 2022

Heddinah Otete is a Dentist based in Malden, MA. Heddinah Otete practices in Malden, MA and has the professional credentials of DENTAL GRADUATE. The NPI Number for Heddinah Otete is 1255063251 and holds a License No. DN1859526 (MA). The current practice location address for Heddinah Otete is 44 Greenwood St, Malden, MA 02148-2121 and can be reached out via phone at 404-993-1487.

Provider Profile Details

NPI Number
1255063251
Provider Name
Heddinah Otete
Credential
DENTAL GRADUATE
Provider Entity Type
Individual
Gender
Female
Address
44 Greenwood St, Malden, MA 02148-2121
Phone Number
404-993-1487
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 28, 2022
Last Update Date
August 3, 2022
Certification Date
July 27, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Greenwood St
Malden, MA 02148-2121
City
Malden
Zip
02148-2121
Phone Number
404-993-1487
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
44 Greenwood St
Malden, MA 02148-2121
City
Malden
State
MA
Zip
02148-2121

License Information

License Number (1)
DN1859526
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
0401417997
License State (2)
VA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Heddinah Otete, DENTAL GRADUATE?

The NPI number of Heddinah Otete, DENTAL GRADUATE is 1255063251. It was assigned on June 28, 2022 and is currently active in the NPPES registry.

What is the specialty of Heddinah Otete, DENTAL GRADUATE?

Heddinah Otete, DENTAL GRADUATE is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859526.

Where does Heddinah Otete, DENTAL GRADUATE practice?

The practice location is 44 Greenwood St, Malden, MA 02148-2121. The office can be reached at 404-993-1487 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255063251 directly on the NPPES registry website.

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