Individual
THEODORE GABRIEL MUCHITENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2300 HEMBY LN, GREENVILLE, NC 27834-3775
(252) 830-0201
(252) 830-2052
Mailing address
2300 HEMBY LN, GREENVILLE, NC 27834-3775
(252) 830-0201
(252) 830-2052
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208734
TRIGON BCBS
—
01
—
523612
UNITED CONCORDIA
—
01
—
69278
BLUE CROSS BLUE SHIELD OF
NC
05
—
6996278
—
NC
Enumeration date
08/12/2005
Last updated
06/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us