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DR. MARIELISA OTERO HENAO DMD
NPI 1437926524
Dentist - General Practice in Philadelphia, PA

Active since December 07, 2023
3951 LANCASTER AVE, PHILADELPHIA, PA 19104(413) 657-4028 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2024, Dec 7, 2023 (2 updates tracked since 2023).

About Dr. Marielisa Otero Henao Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIELISA OTERO HENAO DMD (NPI 1437926524) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS044202) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1437926524
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARIELISA OTERO HENAOCredential: DMD
Location Address3951 LANCASTER AVEPhiladelphia, PA 19104-4636
Mailing Address300 Alexander Ct Apt 412Philadelphia, PA 19103-1159 · (413) 657-4028
Phone(413) 657-4028
Sole ProprietorNo
Enumeration DateDecember 7, 2023
Last NPPES UpdateJanuary 4, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1437926524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS044202
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3951 LANCASTER AVE, Philadelphia, PA 19104
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WEST PHILLY DENTISTS
Clinic/Center (Dental)
3951 LANCASTER AVE
PHILADELPHIA, PA 19104
Philadelphia County (717) 305-2366

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marielisa Otero Henao's NPI number?

The NPI number for Marielisa Otero Henao is 1437926524. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Marielisa Otero Henao located?

Marielisa Otero Henao practices at 3951 Lancaster Ave, Philadelphia, PA 19104. The listed phone number is (413) 657-4028.

What is Marielisa Otero Henao's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Marielisa Otero Henao was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.