Individual
MR. MICHAEL STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7564 HIGHWAY 72 W STE C, MADISON, AL 35758-9437
(256) 690-5099
Mailing address
7511 REED ST, PAPILLION, NE 68046-4815
(712) 202-3260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-0007122-C1
AL
1223G0001X
General Practice Dentistry
2021019860
MO
Other
Enumeration date
06/02/2021
Last updated
10/21/2022
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