Goodrich, Michelle Potter

Goodrich, Michelle Potter is an individual health care provider with primary practice located at 3008 S Church St Ste B , Burlington NC 27215-5686. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Goodrich, Michelle Potter can be contacted via phone (336) 584-7004.

Contact Information

Primary practice address
3008 S Church St Ste B Burlington NC 27215-5686
Phone: (336) 584-7004
Fax: (336) 584-3515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6765 North Carolina

Profile Details

NPI number 1821158502
LBN Legal business name Goodrich, Michelle Potter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821158502 NPPES
North Carolina MEDICAID 8995749
North Carolina Other 95749
North Carolina Other 5064324

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