Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871649137 Individual Practitioner Female Practitioner

Dr. Edita Outericka , DMD

Dentist - General Practice • Bourne, MA

Professional Overview & Biography Verified Profile Summary

Dr. Edita Outericka, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bourne, MA. Practice services are available at 1 TECHNOLOGY PARK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Technology Park Dr

Bourne, MA 025328336

Telephone 5087592724
Associated Practice Facility / Clinic
🏢 Bourne Dental Associates, Llc Facility NPI 1669777256

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bourne, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Bourne, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA 20471

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Jeffrey Glavin , DDS

Dentist - General Practice

NPI 1013054279

Doctor of Dental Surgery

Dr. Cristian Tudor , DMD

Dentist - General Practice

NPI 1225412018

Doctor of Dental Medicine

Dr. Chelsea Gibbs , DMD

Dentist - General Practice

NPI 1245802552

Doctor of Dental Medicine

Dr. Richard Dugas , DDS

Dentist - Pediatric Dentistry

NPI 1265571376

Doctor of Dental Surgery

NPI 1992546147

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1 TECHNOLOGY PARK DR, BOURNE, MA 025328336 (Tel: 5087592724)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3 BRADFORD ST, SOUTH EASTON, MA 023751453

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDITA OUTERICKA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #20471 in MA)

🟢
Initial NPI Registration & Enumeration January 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871649137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 26, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3 Bradford St

South Easton, MA 023751453

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.