Provider Demographics
NPI:1043674500
Name:NESTE, CAMILLE (MPH,DMD)
Entity Type:Individual
Prefix:DR
First Name:CAMILLE
Middle Name:
Last Name:NESTE
Suffix:
Gender:F
Credentials:MPH,DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2896
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-2896
Mailing Address - Country:US
Mailing Address - Phone:787-833-3548
Mailing Address - Fax:787-265-7788
Practice Address - Street 1:51 CALLE DE DIEGO E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5497
Practice Address - Country:US
Practice Address - Phone:787-833-3548
Practice Address - Fax:787-265-7788
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857503122300000X
390200000X
PR0033221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty