NPI 1679447221 · live from the CMS NPI Registry
Michael Thomas Bocklet, DMD, MSd
Dentist, Orthodontics and Dentofacial Orthopedics in Charleston, SC. National Provider Identifier 1679447221, active.
NPI record
| NPI | 1679447221 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1845 Savage Rd, Charleston, SC 29407 |
| Practice phone | 843-556-2133 |
| Enumerated | October 6, 2025 |
| Last updated | October 6, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 10467 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.