Provider Demographics
NPI:1568705168
Name:SOTERA, ALFRED JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:JOSEPH
Last Name:SOTERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 STILES ROAD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2881
Mailing Address - Country:US
Mailing Address - Phone:603-898-9180
Mailing Address - Fax:603-890-5383
Practice Address - Street 1:12 STILES ROAD
Practice Address - Street 2:SUITE 206
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2881
Practice Address - Country:US
Practice Address - Phone:603-898-9180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist