Gocke, Michael Timothy

Gocke, Michael Timothy is an individual health care provider with primary practice located at 7601 Lewinsville Rd Suite 203, Mclean VA 22102-2814. He recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Gocke, Michael Timothy can be contacted via phone (703) 388-2805.

Contact Information

Primary practice address
7601 Lewinsville Rd Suite 203 Mclean VA 22102-2814
Phone: (703) 388-2805
Fax: (703) 388-2806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401411538 Virginia
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3585 West Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0401411538 Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 3585 West Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery Within the Head and Neck 2082S0099X 0401411538 Virginia

Profile Details

NPI number 1336260843
LBN Legal business name Gocke, Michael Timothy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Dec 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336260843 NPPES
Virginia MEDICAID 9200594

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