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Contact Information

MICHAEL C MOCKNICK, DMD
6845 ELM ST
SUITE 509
MCLEAN, VA22101-6007
 Phone: 703-734-0334
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MICHAEL C MOCKNICK · (Male)

NPI Number 1992962070
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/17/2008
Last updated 05/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 9122
  • VA License # 0401008063
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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