Individual provider · Type 1 NPI

Michael S. Booth, DDS

Oral and Maxillofacial Surgery (Dentist) · Wilmington, NC

NPI number 1770639171 Active

Practice location

1305 Physicians Dr.
Wilmington, NC 28401-7352

Call (910) 762-2618 Map

Fax (910) 763-5173

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X7112 (NC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1770639171

Michael S. Booth, DDS's National Provider Identifier is 1770639171, issued on Jan 26, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wilmington, NC. The record was last updated on Mar 25, 2020.