MEDICARE: LINDSEY E OTERO D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8058	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194824094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY E OTERO D.D.S.

Provider Business Mailing Address
First Line	:	1208 CAROLINA BEACH AVE N
Second Line	:	2B
City	:	CAROLINA BEACH
State	:	NC
Zip	:	28428
Country	:	US
Telephone Number	:	910-458-4559
Fax Number	:

Provider Business Practice Location Address
First Line	:	509 OLDE WATERFORD WAY
Second Line	:	SUITE 300
City	:	LELAND
State	:	NC
Zip	:	28451-4125
Country	:	US
Telephone Number	:	910-383-0100
Fax Number	:	910-383-0121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1184891921 — MR. CHRISTOPHER PETER RIZZO D.C.
Practice Location Address:

1160 EAST CUTLAR CROSSING , UNIT 110
LELAND, NC
28451-4125

Practice Phone: 910-371-1200
Practice Fax:

1982633418 — SCOTT ROBERT HITTER PA
Practice Location Address:

509 OLDE WATERFORD WAY , SUITE 101
LELAND, NC
28451-4125

Practice Phone: 910-383-2182
Practice Fax:

1023116852 — DR. MISAEL JOSUE OTERO DDS
Practice Location Address:

509 OLDE WATERFORD WAY , SUITE 300
LELAND, NC
28451-4125

Practice Phone: 910-383-0100
Practice Fax:

1063538585 — DR. MARIA LOURDES C AUSTRIA M.D.
Practice Location Address:

509 OLDE WATERFORD WAY , SUITE 203
LELAND, NC
28451-4125

Practice Phone: 910-383-3883
Practice Fax: 910-383-6802

1669683538 — MRS. JESSICA RUTH WIZMAN LCSW
Practice Location Address:

509 OLDE WATERFORD WAY
LELAND, NC
28451-4125

Practice Phone: 910-632-4848
Practice Fax:

1154502920 — MORGAN INTERNAL MEDICINE, PC
Practice Location Address:

509 OLDE WATERFORD WAY , SUITE 201
LELAND, NC
28451-4125

Practice Phone: 910-332-0241
Practice Fax: 910-332-0246

Directions to “ LINDSEY E OTERO D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.