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NPI Code Detail

MEDICARE: MISHA FELITA LOCKEY D.D.S

MEDICARE: MISHA FELITA LOCKEY D.D.S
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
11223G0001XGeneral Practice DentistryDN014988GA

General Provider Information

NPI Number : 1780932624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISHA FELITA LOCKEY D.D.S
Provider Business Mailing Address
First Line : 124 W ML KING JR DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3226
Country : US
Telephone Number : 912-876-2155
Fax Number :
Provider Business Practice Location Address
First Line : 124 W ML KING JR DR
Second Line :
City : HINESVILLE
State : GA
Zip : 31313-3226
Country : US
Telephone Number : 912-876-2155
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2012
Last Update Date : 06/11/2019

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Directions to “ MISHA FELITA LOCKEY D.D.S” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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