Organization
MICHAEL R TUMBARELLO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBYN L TUMBARELLO (OFFICE MANAGER)
(336) 619-4234
Entity
Organization
Contact information
Practice address
5569 OLD US HIGHWAY 52, LEXINGTON, NC 27295-6100
(336) 619-4234
Mailing address
214 S CRUTCHFIELD STREET, DOBSON, NC 27107-0765
(336) 386-8251
(336) 386-9773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9006A
BCBS
NC
01
—
979550
UNITED CONCORDIA
—
Enumeration date
12/04/2006
Last updated
06/11/2019
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