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Wayne Michaels, D.D.S

Dentist in Plainview, NY. Individual provider (NPI-1).

NPI number1982829313
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982829313
Entity type
Individual (NPI-1)
Name
Wayne Michaels
Credential
D.D.S
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 13, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist041960NYYes

Practice location

875 Old Country Rd
Suite 101
Plainview, NY 11803-4942

Phone 516-931-1221 · Fax 516-861-6520

Mailing address

875 Old Country Rd
Plainview, NY 11803-4942

Phone 516-931-1221 · Fax 516-861-6520

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