institution
Michael C. Kinnebrew, Md, Dds, Pa
Oral and Maxillofacial Surgery (Dentist) in Wilmington, North Carolina
NPI 1558533315

Michael C. Kinnebrew, Md, Dds, Pa is a Oral and Maxillofacial Surgery (Dentist) based in Wilmington, NC and is specialized in Oral and Maxillofacial Surgery. Michael C. Kinnebrew, Md, Dds, Pa practices in Wilmington, NC. The NPI Number for Michael C. Kinnebrew, Md, Dds, Pa is 1558533315 and holds a License No. 96000154 (North Carolina).

The current practice location address for Michael C. Kinnebrew, Md, Dds, Pa is 1122 Medical Center Dr, Wilmington, NC and can be reached out via phone at 910-762-2618 and via fax at 910-763-5173.

Location: 1122 Medical Center Dr, Wilmington, NC, 28401-7305
institution
Provider Profile Details
NPI Number
1558533315
Provider Name
Michael C. Kinnebrew, Md, Dds, Pa
Credential
Provider Entity Type
Organization
Address
1122 Medical Center Dr, Wilmington, NC, 28401-7305
Phone Number
910-762-2618
Fax Number
910-763-5173
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8949309 05 NC
145230 01 NC GUARDIAN
8994921 05 NC
979443 01 NC UCCI
49309 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
1122 Medical Center Dr
City
State
Zip
28401-7305
Phone Number
910-762-2618
Fax Number
910-763-5173
person
Provider Business Mailing Address Details
Address
1122 Medical Center Dr
City
State
Zip
28401-7305
Phone Number
910-762-2618
Fax Number
910-763-5173
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
96000154 (North Carolina)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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