Individual
DR. MICHAEL TILLETT MCALLISTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
745 US HIGHWAY 117 S, C, BURGAW, NC 28425-7746
(910) 259-3733
(910) 259-3734
Mailing address
7929 REUNION ROAD, WILMINGTON, NC 28411
(910) 686-2477
(910) 259-3734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902U4
—
NC
Enumeration date
09/21/2006
Last updated
11/16/2010
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