Individual
DR. MICHAEL G TENCZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Contact information
Practice address
227 FOUNTAINHEAD LANE, FAYETTEVILLE, NC 28301
(910) 433-3612
(910) 433-3659
Mailing address
227 FOUNTAINHEAD LANE, FAYETTEVILLE, NC 28301
(910) 433-3612
(910) 433-3659
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5911987
—
NC
01
—
6096
DELTA DENTAL
—
01
—
903H5
BC/BS
NC
01
—
W1341590601
NC HEALTH CHOICE
NC
Enumeration date
10/16/2006
Last updated
09/17/2009
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