Organization
DR. MICHAEL A. PEELE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALLEN PEELE DDS (DENTIST)
(919) 542-4911
Entity
Organization
Contact information
Practice address
587 OLD GRAHAM RD, PITTSBORO, NC 27312
(919) 542-4911
(919) 542-5714
Mailing address
PO BOX 582, PITTSBORO, NC 27312-0582
(919) 542-4911
(919) 542-5714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4243
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668537
UNITED CONCORDIA
NC
05
—
8996773
—
NC
01
—
96773
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/14/2008
Last updated
03/14/2008
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