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DR. MICHAEL TIMOTHY GOCKE DDS NPI 1336260843


NPI Information

NPI: 1336260843
Provider Name: DR. MICHAEL TIMOTHY GOCKE, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
7601 LEWINSVILLE RD
SUITE 203
MCLEAN, VA
ZIP 22102
Phone: (703) 388-2805
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DR. Michael Timothy Gocke, DDS is an oral and maxillofacial surgery dentist in Mclean, VA. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Michael Timothy Gocke, DDS NPI is 1336260843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7601 LEWINSVILLE RD
SUITE 203
MCLEAN, VA
ZIP 22102-814
Phone: (703) 388-2805
Fax: (703) 388-2806

The NPI 1336260843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/2/2007 and was last updated on 12/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery0401411538VIRGINIAYes
21223S0112XDentistOral and Maxillofacial Surgery3585WEST VIRGINIANo
3204E00000XOral & Maxillofacial Surgery3585WEST VIRGINIANo
4204E00000XOral & Maxillofacial Surgery0401411538VIRGINIANo
52082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck0401411538VIRGINIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19200594MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.