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Contact Information

THOMAS D MCMICHAEL JR, DDS
215 ST. ANN DR.
SUITE 5
MANDEVILLE, LA70471
 Phone: 985-626-8157
 Fax: 985-626-1287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THOMAS D MCMICHAEL JR · (Male)

NPI Number 1124220330
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 4636
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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