Individual
DR. MICHAEL A REOTT SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HIGHWAY 321 SOUTH, MAIDEN, NC 28650-0615
(828) 428-3737
(704) 736-1171
Mailing address
4628 COUNTRYSIDE DR, FLOWERY BRANCH, GA 30542-3671
(704) 530-9729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NC4942
NC
1223G0001X
General Practice Dentistry
NC4942
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8797342
—
NC
01
—
97342
BCBS
NC
Enumeration date
09/20/2006
Last updated
05/20/2024
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