Michael C. Kinnebrew, Md, Dds, Pa
Oral and Maxillofacial Dental Clinic
1122 Medical Center Dr, Wilmington
North Carolina, 28401-7305
910-762-2618 910-763-5173
Maps & DirectionsMichael C. Kinnebrew, Md, Dds, Pa is a Oral and Maxillofacial Dental Clinic in Wilmington, North Carolina. It is located at 1122 Medical Center Dr, Wilmington, NC and its contact number is 910-762-2618. The authorized person for Michael C. Kinnebrew, Md, Dds, Pa is Mr. Paul O Belisle
who is Cfo of the clinic and their contact number is 910-762-2618. Other organizations associated with this clinic are Michael C. Kinnebrew, Md, Dds, Pa, Ronald D. Gaitros, Dds, Ms, Pa, The primary license number for Michael C. Kinnebrew, Md, Dds, Pa is 96000154 (Oral and Maxillofacial Surgery) in North Carolina.
Michael C. Kinnebrew, Md, Dds, Pa Clinic deals with 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.
Complete Clinic Profile:
Michael C. Kinnebrew, Md, Dds, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Michael C. Kinnebrew, Md, Dds, Pa |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 1122 Medical Center Dr, Wilmington,
North Carolina, 28401-7305 |
| Phone: | 910-762-2618 |
| Fax: | 910-763-5173 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Paul O Belisle |
| Position: | Cfo |
| Contact Number: | 910-762-2618 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Michael C. Kinnebrew, Md, Dds, Pa clinic are as mentioned below.
| NPI Number: | 1558533315 |
| NPI Enumeration Date: | 01 Apr, 2008 |
| NPI Last Update On: | 01 Apr, 2008 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Michael C. Kinnebrew, Md, Dds, Pa | Oral and Maxillofacial Surgery | 1558533315 |
| Ronald D. Gaitros, Dds, Ms, Pa | Oral and Maxillofacial Surgery | 1750553517 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael C. Kinnebrew, Md, Dds, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 96000154 | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8949309 | Medicaid | North Carolina | |
| 145230 | Other | North Carolina | Guardian |
| 8994921 | Medicaid | North Carolina | |
| 979443 | Other | North Carolina | Ucci |
| 49309 | Other | North Carolina | Bcbs |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michael C. Kinnebrew, Md, Dds, Pa
1122 Medical Center Dr,
Wilmington, North Carolina |
| Zip: | 28401-7305 |
| Phone Number: | 910-762-2618 |
| Fax Number: | 910-763-5173 |
Patients can reach Michael C. Kinnebrew, Md, Dds, Pa at
1122 Medical Center Dr, Wilmington, North Carolina or can
call to book an appointment on 910-762-2618.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.