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Organization
WARD & MICHELAKIS, DDS, PA
Active
Organization
WARD & MICHELAKIS, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MICHELAKIS D.D.S. (PARTNER)
(910) 754-4507
Entity
Organization
Contact information
Practice address
343 WHITEVILLE RD, SHALLOTTE, NC 28470
(910) 754-4507
Mailing address
PO BOX 229, SHALLOTTE, NC 28459-0229
(910) 754-4507
(910) 754-9320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3235
NC
1223G0001X
General Practice Dentistry
7012
NC
1223G0001X
General Practice Dentistry
7663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012YW
—
NC
Enumeration date
01/16/2008
Last updated
06/24/2008
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