Individual
DR. ANTHONY J MICHELAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1132 NEW POINTE BLVD., UNIT 4, LELAND, NC 28451-4257
(910) 408-1885
(910) 408-1886
Mailing address
1132 NEW POINTE BLVD., UNIT 4, LELAND, NC 28451-4257
(910) 408-1885
(910) 408-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8990034
—
NC
Enumeration date
12/15/2006
Last updated
11/20/2019
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