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Contact Information

MICHAEL P MCCORMICK JR, DDS
901 ENTERPRISE PKWY
SUITE 500
HAMPTON, VA23666-6249
 Phone: 757-896-4900
 Fax: 757-896-4905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MICHAEL P MCCORMICK JR · (Male)

NPI # 1013099894
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/20/2006
Last updated 12/12/2014 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # VA8746
  • VA Other 285011 BLUE CROSS BLUE SHIELD
  • VA Other 986085 UNITED CONCORDIA
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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