Michael L. Mock, DDS PA
Organization Active NPI General Practice Dentistry · Mt. Pleasant, NC
NPI 1508926718 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508926718
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 4518 (NC)
- Legal business name
- MICHAEL L. MOCK, DDS PA
- Practice address
- 1476 S Main St.
Mt. Pleasant, NC 28124-0847 - Phone
- (704) 436-9397
- Fax
- (704) 436-2203
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael L. Mock, DDS, PA
- Title
- President
- Phone
- (704) 436-9397
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 4518 | NC | Yes |
Addresses
Primary practice location
1476 S Main St.
Mt. Pleasant, NC 28124-0847
Mailing address
PO Box 846
1476 South Main St.
Mt. Pleasant, NC 28124-0847
Phone (704) 436-9397
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96027 | Other | NC | BLUE CROSS AND BLUE SHIEL |
| 4518 | Other | NC | NC DENTAL LISCENSE |
| 8996027 | Medicaid | NC |
Other providers in Mt. Pleasant, NC
- Jacob Kozecke
- Robert Aaron Lambert
- Ethan Jeremy Ledbetter
- Jackson Long
- Robin Louise Long
- Madelyn Marie Miller
- Audra Griffin Misenheimer
- Monarch
- Moose Drug Company
- Moose Drug Company
All providers in Mt. Pleasant, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.