| Michael T Mcallister Dds Pa | |
|
745 Us Highway 117 S C Burgaw NC 28425-7746 | |
| (910) 259-3733 | |
| (910) 259-3734 |
| Full Name | Michael T Mcallister Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 745 Us Highway 117 S, Burgaw, North Carolina |
| Authorized Official Name and Position | Alice H Wood (OFFICE MANAGER) |
| Authorized Official Contact | 9102593733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Mcallister Dds Pa 745 Us Highway 117 S C Burgaw NC 28425-7746 Ph: (910) 259-3733 | Michael T Mcallister Dds Pa 745 Us Highway 117 S C Burgaw NC 28425-7746 Ph: (910) 259-3733 |
| NPI Number | 1922309384 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922309384 | NPI | - | NPPES |
| 89902U4 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7785 (North Carolina) | Primary |
Larry J. Moray Dds, Ms, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 S Mcneil St, Burgaw, NC 28425 Phone: 910-300-9590 Fax: 910-300-9591 |