Michael Vick, DDS
Dentist, General Practice in Denver, NC. Individual provider (NPI-1).
NPI number1003345752
StatusActive
Last updated in NPPESJun 7, 2017
Details
- NPI
- 1003345752
- Entity type
- Individual (NPI-1)
- Name
- Michael Vick
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2017
- Last updated
- Jun 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10641 | NC | Yes |
Practice location
2226 N Nc 16 Business HwyDenver, NC 28037-8254
Phone 704-766-8944
Mailing address
2300 South Blvd Apt 521Charlotte, NC 28203-6483
Phone 919-621-2564
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