Provider Demographics
NPI:1740754142
Name:MAKANI DOLLINGER, DMD, PA
Entity Type:Organization
Organization Name:MAKANI DOLLINGER, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAKANI
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:252-996-0160
Mailing Address - Street 1:PO BOX 2059
Mailing Address - Street 2:
Mailing Address - City:MANTEO
Mailing Address - State:NC
Mailing Address - Zip Code:27954-2059
Mailing Address - Country:US
Mailing Address - Phone:252-473-5774
Mailing Address - Fax:
Practice Address - Street 1:2038 NC 345
Practice Address - Street 2:
Practice Address - City:WANCHESE
Practice Address - State:NC
Practice Address - Zip Code:27981
Practice Address - Country:US
Practice Address - Phone:252-473-5774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental