National Provider Identifier
Sandra Michelle Otero, R.D.H
Sandra Michelle Otero, R.D.H is listed in the NPPES registry with a primary specialty of Dental Hygienist in Rushville, NY and a listed phone number of (585) 554-4400.
Profile Overview
- NPI
- 1790179257
- Provider Type
- Individual
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- March 23, 2015
- Last Updated
- March 23, 2015
Practice Location
- 2 Rubin Dr
- Rushville, NY 14544-9681
Phone: (585) 554-4400
Specialties
- Dental Hygienist (124Q00000X)
Full Record
- NPI
- 1790179257
- Entity Type
- Individual
- Last Name
- Otero
- First Name
- Sandra
- Middle Name
- Michelle
- Name Prefix
- Mrs.
- Credential
- R.D.H
- Provider Other Last Name
- Peacock
- Provider Other First Name
- Sandra
- Provider Other Middle Name
- Michelle
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- R.D.H
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2 Rubin Dr
- Mailing City
- Rushville
- Mailing State
- NY
- Mailing ZIP Code
- 14544-9681
- Mailing Country
- US
- Mailing Phone
- (585) 554-4400
- Practice Street Address
- 2 Rubin Dr
- Practice City
- Rushville
- Practice State
- NY
- Practice ZIP Code
- 14544-9681
- Practice Country
- US
- Practice Phone
- (585) 554-4400
- Enumeration Date
- March 23, 2015
- Last Updated
- March 23, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dental Hygienist (124Q00000X)