Individual
DR. MICHAEL S. JASKOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 667-9402
(877) 665-4450
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9331
(910) 662-2403
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
3897
WV
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7993
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
201400263
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
24111
WV
208600000X
Surgery Physician
Primary
2014-00263
NC
Other
Enumeration date
05/29/2007
Last updated
08/08/2022
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