| Michael C. Kinnebrew, Md, Dds, Pa | |
|
1122 Medical Center Dr Wilmington NC 28401-7305 | |
| (910) 762-2618 | |
| (910) 763-5173 |
| Full Name | Michael C. Kinnebrew, Md, Dds, Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1122 Medical Center Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Paul O Belisle (CFO) |
| Authorized Official Contact | 9107622618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael C. Kinnebrew, Md, Dds, Pa 1122 Medical Center Dr Wilmington NC 28401-7305 Ph: (910) 762-2618 | Michael C. Kinnebrew, Md, Dds, Pa 1122 Medical Center Dr Wilmington NC 28401-7305 Ph: (910) 762-2618 |
| NPI Number | 1558533315 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558533315 | NPI | - | NPPES |
| 8949309 | Medicaid | NC | |
| 145230 | Other | NC | GUARDIAN |
| 8994921 | Medicaid | NC | |
| 979443 | Other | NC | UCCI |
| 49309 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 96000154 (North Carolina) | Primary |
White And Johnson Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Mendenhall Dr Ste A, Wilmington, NC 28411 Phone: 910-686-1869 Fax: 910-319-6014 | |
Southeast Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 S College Rd, Wilmington, NC 28403 Phone: 910-859-7529 Fax: 910-859-7528 | |
Danielle M. Gough, Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1124 Gallery Park Boulevard, Wilmington, NC 28412 Phone: 910-218-1222 Fax: 844-266-2407 | |
Richard Alan Reamer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 Medical Center Drive, Suite #101, Wilmington, NC 28401 Phone: 910-762-0355 Fax: 910-342-9211 | |
Picklesimer & Plasky, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713 College Acres Dr, Wilmington, NC 28403 Phone: 910-799-2238 Fax: 910-392-3414 | |
Douglas L. Fowler, Dds, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 N College Rd, Wilmington, NC 28405 Phone: 910-790-3836 Fax: 910-790-5026 | |
Wilmington Comprehensive & Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Princess St, Wilmington, NC 28401 Phone: 910-251-8174 Fax: 910-341-3037 |