Organization
MICHAEL T MCALLISTER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE H WOOD (OFFICE MANAGER)
(910) 259-3733
Entity
Organization
Contact information
Practice address
745 US HIGHWAY 117 S, C, BURGAW, NC 28425-7746
(910) 259-3733
(910) 259-3734
Mailing address
745 US HIGHWAY 117 S, C, BURGAW, NC 28425-7746
(910) 259-3733
(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
11/16/2010
Last updated
11/16/2010
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