| Michael L. Mock, Dds Pa | |
|
1476 S Main St. Mt. Pleasant NC 28124-0847 | |
| (704) 436-9397 | |
| (704) 436-2203 |
| Full Name | Michael L. Mock, Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1476 S Main St., Mt. Pleasant, North Carolina |
| Authorized Official Name and Position | Michael L. Mock (PRESIDENT) |
| Authorized Official Contact | 7044369397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L. Mock, Dds Pa Po Box 846 1476 South Main St. Mt. Pleasant NC 28124-0847 Ph: (704) 436-9397 | Michael L. Mock, Dds Pa 1476 S Main St. Mt. Pleasant NC 28124-0847 Ph: (704) 436-9397 |
| NPI Number | 1508926718 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508926718 | NPI | - | NPPES |
| 96027 | Other | NC | BLUE CROSS AND BLUE SHIEL |
| 4518 | Other | NC | NC DENTAL LISCENSE |
| 8996027 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4518 (North Carolina) | Primary |