Provider Demographics
NPI:1023248325
Name:MAYTE ACCORNERO, DMD, P.A.
Entity type:Organization
Organization Name:MAYTE ACCORNERO, DMD, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACCORNERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-231-9374
Mailing Address - Street 1:PO BOX 1144
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-3144
Mailing Address - Country:US
Mailing Address - Phone:787-231-9374
Mailing Address - Fax:
Practice Address - Street 1:270 CORNERSTONE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8400
Practice Address - Country:US
Practice Address - Phone:919-380-7624
Practice Address - Fax:919-380-7071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8480122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty