MEDICARE: DR. K. MICHAEL RHYNE D.D.S.P.A.

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
1	1223G0001X	General Practice Dentistry	NC4394	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841222072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. K. MICHAEL RHYNE D.D.S.P.A.

Provider Business Mailing Address
First Line	:	2101 SARDIS RD N
Second Line	:	SUITE 105
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7711
Country	:	US
Telephone Number	:	704-847-7730
Fax Number	:	704-844-9609

Provider Business Practice Location Address
First Line	:	2101 SARDIS RD N
Second Line	:	SUITE 105
City	:	CHARLOTTE
State	:	NC
Zip	:	28227-7711
Country	:	US
Telephone Number	:	704-847-7730
Fax Number	:	704-844-9609

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. K. MICHAEL RHYNE D.D.S.P.A.” Practice Location

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