Adu-Tutu, Michael

Adu-Tutu, Michael is an individual health care provider with primary practice located at 714 Avenue C , Fort Pierce FL 34950-4189. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Adu-Tutu, Michael can be contacted via phone (772) 462-3874.

Contact Information

Primary practice address
714 Avenue C Fort Pierce FL 34950-4189
Phone: (772) 462-3874
Fax: (772) 462-3880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D2934 Arizona
Dental Providers / Dentist 122300000X DN10216 Florida
Dental Providers / Dentist 122300000X 56698 California
Dental Providers / Dentist 122300000X DS0000004304 Tennessee

Profile Details

NPI number 1952362931
LBN Legal business name Adu-Tutu, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jan 27th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952362931 NPPES
Arizona MEDICAID 83600

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