Michael C. Kretchmer DDS, Ms, PA II

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

MICHAEL C. KRETCHMER DDS, MS, PA II

Doing business as

Tar Heel Periodontics and Implant Dentistry

Practice address

600 Dr Calvin Jones Hwy Ste 112
Wake Forest, NC 27587-3103

Phone

(919) 844-7140

NPI assigned

Jun 13, 2025

Last updated

Jun 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Kretchmer, DDSNPI 1427171768

Title

Partner

Phone

(919) 844-7140

Specialties & licenses 1

Addresses

Other names 1

• Tar Heel Periodontics and Implant Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Craig Kretchmer, D.D.S., M.S.

  • Periodontics
  • Raleigh, NC
  • NPI 1427171768
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1861388332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DR CALVIN JONES HWY STE 112",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873103",
            "telephone_number": "919-844-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DR CALVIN JONES HWY STE 112",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873103",
            "telephone_number": "919-844-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. KRETCHMER DDS, MS, PA II",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "KRETCHMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-844-7140",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tar Heel Periodontics and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Gray Messina, PA-C
• Albert Augustine Meyer III, PT, DPT
• Alyson Elizabeth Meyer, PHARMD
• Gina Louise Micchia, DO
• Joseph Matthew Micchia Jr., DO
• Michelle Dattada, LCSW, PLLC
• Sola E Miles, M.H.S, PA-C
• Milestones Counseling, PLLC
• Adrian Miller
• Madalyn Miller

• Periodontics in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.