Organization
DR. MICHAEL K WIMBERLY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KEITH WIMBERLY DDS (OWNER)
(828) 757-1188
Entity
Organization
Contact information
Practice address
1285 WILKESBORO BLVD, LENOIR, NC 28645-4728
(828) 757-1188
(828) 758-2414
Mailing address
1285 WILKESBORO BLVD, LENOIR, NC 28645-4728
(828) 757-1188
(828) 758-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5759
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5759
NC DENTAL LICENSE
NC
Enumeration date
06/12/2008
Last updated
06/12/2008
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