Individual
MICHAEL HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 TANGLEWOOD PKWY N STE K, ELIZABETH CITY, NC 27909-9631
(252) 335-4341
Mailing address
200 CLIFTON ST, MOYOCK, NC 27958-7036
(801) 888-3102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14190
NC
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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