Whitehouse, Michael J
Whitehouse, Michael J is an individual health care provider with primary practice located at 3020 Maplewood Avenue , Winston-Salem NC 27103-4012. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Whitehouse, Michael J can be contacted via phone (336) 768-9881.Contact Information
Primary practice address
3020 Maplewood Avenue
Winston-Salem NC 27103-4012
Phone: (336) 768-9881
Fax: (336) 768-6066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7036 | North Carolina |
Profile Details
| NPI number | 1730109083 |
|---|---|
| LBN Legal business name | Whitehouse, Michael J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730109083 | NPPES |
| North Carolina | MEDICAID | 8990129 |
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