Provider Demographics
NPI:1467510461
Name:SOLTMANN, RENATE ELISABETH (DDS, MS)
Entity Type:Individual
Prefix:
First Name:RENATE
Middle Name:ELISABETH
Last Name:SOLTMANN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9201 LEESVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7540
Mailing Address - Country:US
Mailing Address - Phone:919-844-8826
Mailing Address - Fax:
Practice Address - Street 1:9201 LEESVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-7540
Practice Address - Country:US
Practice Address - Phone:919-844-8826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8998002Medicaid