Edita Outericka, DMD
Dentist, General Practice in Bourne, Massachusetts
1871649137- Practice location
- 1 Technology Park Dr, Bourne, MA 02532-8336
- Phone
- 508-759-2724
- Fax
- —
- Last updated
- July 8, 2007
Edita Outericka is a Dentist, General Practice based in Bourne, MA. Edita Outericka practices in Bourne, MA and has the professional credentials of DMD. The NPI Number for Edita Outericka is 1871649137 and holds a License No. 20471 (MA). The current practice location address for Edita Outericka is 1 Technology Park Dr, Bourne, MA 02532-8336 and can be reached out via phone at 508-759-2724.
Provider Profile Details
- NPI Number
- 1871649137
- Provider Name
- Edita Outericka
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Technology Park Dr, Bourne, MA 02532-8336
- Phone Number
- 508-759-2724
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 26, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Technology Park Dr
Bourne, MA 02532-8336 - City
- Bourne
- State
- Massachusetts
- Zip
- 02532-8336
- Phone Number
- 508-759-2724
Provider Business Mailing Address Details
- Address
- 3 Bradford St
South Easton, MA 02375-1453 - City
- South Easton
- State
- MA
- Zip
- 02375-1453
License Information
- License Number
- 20471
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Bourne, MA
View all Dentist, General Practice providers in Bourne →- Avita Dental Associates PLLCDentist, General Practice · NPI 1831061662
- Bourne Bridge Dental. LLCDentist, General Practice · NPI 1437572625
- Bourne Dental Associates, LLCDentist, General Practice · NPI 1669777256
- Cristian Tudor, DMDDentist, General Practice · NPI 1225412018
- Dr. Jeffrey J Glavin, DDSDentist, General Practice · NPI 1013054279
- Lynne L Marshall, DMDDentist, General Practice · NPI 1821005679
Frequently Asked Questions
What is the NPI number of Edita Outericka, DMD?
The NPI number of Edita Outericka, DMD is 1871649137. It was assigned on January 26, 2007 and is currently active in the NPPES registry.
What is the specialty of Edita Outericka, DMD?
Edita Outericka, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 20471.
Where does Edita Outericka, DMD practice?
The practice location is 1 Technology Park Dr, Bourne, MA 02532-8336. The office can be reached at 508-759-2724 (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 1871649137 directly on the NPPES registry website.