Organization Name: | MICHAEL R HAMRICK DDS PA |
NPI Number: | 1679704738 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL R HAMRICK (OWNER) |
Mailing Address: | 264 Hwy 19 S Suite 1 Bryson City |
State: | NC US |
Postal Code: | 287131759 |
Phone Number: | 8284882582 |
Fax Number: | 8284889294 |
NPI Enumeration Date: | 08/06/2009 |
NPI Last Update Date: | 08/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 4487 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |