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NPI Code Detail

MEDICARE: MICHAEL WILLIAM MCQUINN DMD

MEDICARE:   MICHAEL WILLIAM MCQUINN  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist9754KY
2390200000XStudent in an Organized Health Care Education/Training Program
31223S0112XOral and Maxillofacial Surgery (Dentist)12013NC

General Provider Information

NPI Number : 1396108015
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WILLIAM MCQUINN DMD
Provider Business Mailing Address
First Line : 409 WHISTLING HERON WAY
Second Line :
City : SWANSBORO
State : NC
Zip : 28584-0077
Country : US
Telephone Number : 239-313-9576
Fax Number :
Provider Business Practice Location Address
First Line : 604 MCCARTHY BLVD
Second Line :
City : NEW BERN
State : NC
Zip : 28562-5231
Country : US
Telephone Number : 252-638-6177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2016
Last Update Date : 02/18/2026

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Directions to “ MICHAEL WILLIAM MCQUINN DMD” Practice Location

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