Dr Michael Douglas Lopez Jr, DDS is a
Dentist based in La Follette, Tennessee. Dr Michael Douglas Lopez Jr is licensed to practice in Tennessee (license number 9047) and his current practice location is
2257 Jacksboro Pike, La Follette, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 562-4766.
NPI number for Dr Michael Douglas Lopez Jr is 1720218167 and his current mailing address is 2257 Jacksboro Pike, La Follette, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720218167.
Healthcare Provider's Profile
Full Name | Dr Michael Douglas Lopez Jr |
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Gender | Male |
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Speciality | Dentist |
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Location | 2257 Jacksboro Pike, La Follette, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720218167
- Provider Enumeration Date: 07/20/2009
- Last Update Date: 07/20/2009
Medical Identifiers
Medical identifiers for Dr Michael Douglas Lopez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720218167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 9047 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Douglas Lopez Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michael Douglas Lopez Jr, DDS 2257 Jacksboro Pike, La Follette, TN 37766-2904 Ph: () - | Dr Michael Douglas Lopez Jr, DDS 2257 Jacksboro Pike, La Follette, TN 37766-2904 Ph: (423) 562-4766 |
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