Theodore G. Muchiteni, DMD, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5566 Issued in NC

Legal business name

THEODORE G. MUCHITENI, DMD, PA

Practice address

2300 Hemby LN
Greenville, NC 27834-3775

Phone

(252) 830-0201

Fax

(252) 830-2052

NPI assigned

Jul 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theodore Gabriel Muchiteni, DMDNPI 1366444085

Title

Owner/Doctor

Phone

(252) 830-0201

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenville Oral & Maxillofacial Surgeons Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Gabriel Muchiteni, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenville, NC
  • NPI 1366444085
  Authorized official Same address or phone
• Richard Allen Salzer, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenville, NC
  • NPI 1457353039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700803228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343775",
            "telephone_number": "252-830-0201",
            "fax_number": "252-830-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343775",
            "telephone_number": "252-830-0201",
            "fax_number": "252-830-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE G. MUCHITENI, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCHITENI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "252-830-0201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "5566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6996278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Oral & Maxillofacial Surgeons",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Greenville, NC
• Providers in Greenville, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.