Individual
DR. SCOTT MICHAEL VINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2018 NEW GARDEN ROAD, SUITE D, GREENSBORO, NC 27410
(336) 540-0026
(336) 540-0036
Mailing address
2018 NEW GARDEN ROAD, SUITE D, GREENSBORO, NC 27410
(336) 540-0026
(336) 540-0036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899007X
—
NC
Enumeration date
09/18/2008
Last updated
10/26/2021
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