IndividualActive
Ernesto Soberano
NPI 1659464055 · Dental Hygienist · Jacksonville, NC
Provider details
- NPI number
- 1659464055
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 7404 (NC)
Specialties & taxonomies
Dental Providers
Practice location
301 Preston Rd
Jacksonville, NC 28540-5656
Phone: (757) 444-8654
Approximate (ZIP-level) locationGet directions
Mailing address
301 Preston Rd
Jacksonville, NC 28540-5656
Registry dates
- Enumerated
- 2006-09-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.