| Michael A Ignelzi Jr Dds Phd Pa | |
|
3901 N Elm St Greensboro NC 27455-2594 | |
| (336) 286-0200 | |
| (336) 286-0198 |
| Full Name | Michael A Ignelzi Jr Dds Phd Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3901 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Michael A. Ignelzi (OWNER) |
| Authorized Official Contact | 3362860200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Ignelzi Jr Dds Phd Pa 3901 N Elm St Greensboro NC 27455-2594 Ph: (336) 286-0200 | Michael A Ignelzi Jr Dds Phd Pa 3901 N Elm St Greensboro NC 27455-2594 Ph: (336) 286-0200 |
| NPI Number | 1124235205 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124235205 | NPI | - | NPPES |
| 5904622 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5606 (North Carolina) | Primary |
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