Organization
MICHAEL O. GIVENS, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ODELL GIVENS D.D.S. (PRESIDENT)
(704) 536-2299
Entity
Organization
Contact information
Practice address
6608 E HARRIS BLVD, SUITE G, CHARLOTTE, NC 28215-5127
(704) 536-2299
(704) 537-3562
Mailing address
6608 E HARRIS BLVD, SUITE G, CHARLOTTE, NC 28215-5127
(704) 536-2299
(704) 537-3562
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5082
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993226
—
NC
Enumeration date
01/24/2008
Last updated
01/24/2008
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