DR. MICHAEL WOLLOCK


Address: 32 Parking Plz, 604 The Times Bldg, Suburban Square, Ardmore, PA 19003-2415
Phone: 6106490313

DR. MICHAEL WOLLOCK (NPI# 1912064049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912064049
Entity Type Individual
Full Name DR. MICHAEL WOLLOCK
Practice Address 32 Parking Plz
604 The Times Bldg, Suburban Square
Ardmore
PA 19003-2415
Practice Telephone 6106490313
Mailing Telephone 6106490313
Enumeration Date 2007-01-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS 030219L PA Dental Providers

Office Location

Street Address 32 PARKING PLZ
604 THE TIMES BLDG, SUBURBAN SQUARE
City ARDMORE
State PA
Zip Code 19003-2415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336183383 Eric Ferenc Bernstein Dermatology 32 Parking Plz, Suite 200, Ardmore, PA 19003-2415 2006-06-16
1902287485 Christopher S. Perrie, Dds, Md, LLC Clinic/Center 32 Parking Plz, Suite 502, Ardmore, PA 19003-2415 2015-06-10
1750666566 Laser Surgery and Cosmetic Dermatology Centers Inc Otolaryngology 32 Parking Plz, Suite 200, Ardmore, PA 19003-2415 2011-10-13
1770623571 Christopher Perrie Dentist 32 Parking Plz, Suite 502, Ardmore, PA 19003-2415 2007-02-08

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NPI Name Taxonomy Address Enumeration
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1972908739 Teleradiology Solutions PC Clinic/Center 22 Lianfair Road, Unit 6, Ardmore, PA 19003 2014-10-23
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063025336 Vaughan Family Dentistry, PC Dentist 27001 Main St., Ardmore, TN 38449 2020-08-26
1538721675 Rishu Kumar Batta Dentist 2517 Westwood Ct, Ardmore, OK 73401-2265 2019-06-28
1750701603 Okc Dental Health Associates, P.C. Dentist 2401 12th Ave Nw Ste 103, Ardmore, OK 73401-1471 2014-04-18
1427344738 Storts Family Dentistry, Jesse D. Storts, Jr. PC Dentist 1220 Merrick Dr, Ardmore, OK 73401-1824 2011-06-24
1962798595 Sudberry Dental Dentist 1520 N Commerce St Ste A, Ardmore, OK 73401-1858 2011-06-22
1760627145 Lindsey Field Marshall Dentist 602 The Times Building, 22 Parking Plaza, Ardmore, PA 19003 2008-12-12
1801081534 Thomas Blake Sudberry Dentist 615 N. Commerce, Ardmore, OK 73401 2007-09-06
1356557367 Dan Charles Mccarel Dentist 665 Ardmore Ave, Ardmore, PA 19003-1836 2007-05-15
1740309368 Mary Sidawi Dentist 83 Llanfair Cir, Ardmore, PA 19003-3342 2007-03-28
1710027131 Les Ledbetter Dentist 1524 N Commerce, Ardmore, OK 73401 2007-02-07
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Competitor

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City ARDMORE
Zip Code 19003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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