Organization
DR. VINCENT VISSICHELLI & ASSOCIATES, D.M.D., P.A.
Active
Other names
Firehouse Kid's Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT P. VISSIEHELLI D.M.D., P.A. (DOCTOR)
(910) 778-8485
Entity
Organization
Contact information
Practice address
2980 RAY ROAD, SPRING LAKE, NC 28390
(910) 778-8485
(910) 778-8477
Mailing address
213 SKYLAND PLAZA SUITE 1370-212, FIREHOUSE KID'S DENTISTRY, SPRING LAKE, NC 28390
(910) 778-8485
(910) 778-8477
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8363
NC
Other
Enumeration date
01/21/2014
Last updated
04/23/2014
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