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Individual

DR. MICHAEL SCOT MCCANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
105 WAYFARER CT, ROCKY MOUNT, NC 27801-6282
(252) 443-0048
(252) 443-4796
Mailing address
3769 SUNSET AVE, ROCKY MOUNT, NC 27804-3327
(252) 443-0048
(252) 443-4796

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
040100-6604
VA
1223G0001X
General Practice Dentistry
Primary
8347
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1215052246
NPI
05
5906483
NC
Enumeration date
03/20/2007
Last updated
07/17/2013
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