Edita Outericka, D.M.D.

General Practice Dentistry · Bourne, MA

Individual Active NPI

NPI number 1871649137

Practice location

1 Technology Park Dr
Bourne, MA 02532-8336
Phone
(508) 759-2724

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NPI record

NPI
1871649137
Entity type
Individual (Type 1)
Enumeration date
January 26, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 20471 MA

Mailing address

3 Bradford St
South Easton, MA 02375-1453

About Dr. Outericka

Edita Outericka, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1 Technology Park Dr, Bourne, MA 02532-8336. The NPI number 1871649137 was assigned on January 26, 2007 and the record was last updated on July 8, 2007.

Dr. Outericka lists a license in the registry: #20471 (MA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edita Outericka, D.M.D.?

The NPI number is 1871649137.

What is the phone number of Dr. Outericka?

The phone number listed for the practice location is (508) 759-2724.

Where is Dr. Outericka located?

1 Technology Park Dr, Bourne, MA 02532-8336.

What is the taxonomy code for Dr. Outericka?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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