Organization
MICHAEL A IGNELZI JR DDS PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. IGNELZI JR. DDS, PHD (OWNER)
(336) 286-0200
Entity
Organization
Contact information
Practice address
3901 N ELM ST, GREENSBORO, NC 27455-2594
(336) 286-0200
(336) 286-0198
Mailing address
3901 N ELM ST, GREENSBORO, NC 27455-2594
(336) 286-0200
(336) 286-0198
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5606
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904622
—
NC
Enumeration date
05/17/2007
Last updated
08/16/2023
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