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NPI Code Detail

MEDICARE: MICHAEL LEE HASSON DDS

MEDICARE:   MICHAEL LEE HASSON  DDS
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
11223S0112XOral and Maxillofacial Surgery (Dentist)6142NC

General Provider Information

NPI Number : 1043437825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LEE HASSON DDS
Provider Business Mailing Address
First Line : 1221 FLORAL PKWY STE 101
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6235
Country : US
Telephone Number : 910-793-0440
Fax Number : 910-793-0441
Provider Business Practice Location Address
First Line : 1221 FLORAL PKWY STE 101
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-6235
Country : US
Telephone Number : 910-793-0440
Fax Number : 910-793-0441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 07/08/2007

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Directions to “ MICHAEL LEE HASSON DDS” Practice Location

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