Active NPI
Michael Meyer Vuocolo, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Jonesboro, GA
National Provider Identifier
1437362811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 8393
- Practice address
- 407 Arrowhead Blvd
Suite 123
Jonesboro, GA 30236-1255 - Phone
- (770) 471-5005
- Fax
- (770) 471-7638
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8393 | GA | Primary |
Addresses
Primary practice location
407 Arrowhead Blvd
Suite 123
Jonesboro, GA 30236-1255
Mailing address
407 Arrowhead Blvd
Suite 123
Jonesboro, GA 30236-1255
Phone (770) 471-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8393 | GA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 1 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437362811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ARROWHEAD BLVD",
"address_2": "SUITE 123",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361255",
"telephone_number": "770-471-5005",
"fax_number": "770-471-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ARROWHEAD BLVD",
"address_2": "SUITE 123",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361255",
"telephone_number": "770-471-5005",
"fax_number": "770-471-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUOCOLO",
"first_name": "MICHAEL",
"middle_name": "MEYER",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "GA",
"license": "8393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.