Healthcare Provider Details

I. General information

NPI: 1922669449
Provider Name (Legal Business Name): MICHAEL VICTOR FEATHERS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N CENTER ST STE 200
HICKORY NC
28601-6294
US

IV. Provider business mailing address

991 W HUDSON BLVD
GASTONIA NC
28052-6430
US

V. Phone/Fax

Practice location:
  • Phone: 828-855-3779
  • Fax:
Mailing address:
  • Phone: 704-853-5191
  • Fax: 704-671-1404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number11494
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: