Most Relevant Information
Provider Data
| NPI Number: | 1003345752 |
| Provider Name: | MICHAEL VICK DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 10641 |
Most Important Dates
| Enumeration Date: | 06/07/2017 |
| Last Updated: | 06/07/2017 |
Provider Practice Location
2226 N NC 16 BUSINESS HWY
DENVER
NC
280378254
Practice Location Phone/Fax
| Phone: | 7047668944 |
| Fax: |
Provider Mailing Location
2300 SOUTH BLVD APT 521
CHARLOTTE
NC
282036483
Provider Mailing Phone/Fax
| Phone: | 9196212564 |
| Fax: |