Organization
THEODORE G. MUCHITENI, DMD, PA
Active
Organization
THEODORE G. MUCHITENI, DMD, PA
Active
Other names
Greenville Oral & Maxillofacial Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE GABRIEL MUCHITENI DMD (OWNER/DOCTOR)
(252) 830-0201
Entity
Organization
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
05
—
6996278
—
NC
Enumeration date
07/17/2006
Last updated
08/22/2020
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