Individual
MICHAEL RAYMOND TUMBARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5569 OLD US HIGHWAY 52, LEXINGTON, NC 27295
(336) 619-4234
Mailing address
5569 OLD US HIGHWAY 52, LEXINGTON, NC 27295-6100
(336) 619-4234
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9006A
BLUE CROSS BLUE SHIELD
NC
Enumeration date
09/11/2006
Last updated
06/02/2019
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