Provider Demographics
NPI:1013209485
Name:MICHAEL O. REIMELS DDS PA II
Entity Type:Organization
Organization Name:MICHAEL O. REIMELS DDS PA II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-987-7996
Mailing Address - Street 1:3099 ROCK HILL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-6631
Mailing Address - Country:US
Mailing Address - Phone:704-782-2630
Mailing Address - Fax:
Practice Address - Street 1:3099 ROCK HILL CHURCH RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-6631
Practice Address - Country:US
Practice Address - Phone:704-782-2630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC79191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty