Dai, Michelle L

Dai, Michelle L is an sole proprietor health care provider with primary practice located at 101 Long Ln 1St Floor, Upper Darby PA 19082-3112. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Dai, Michelle L can be contacted via phone (610) 352-2263.

Contact Information

Primary practice address
101 Long Ln 1St Floor Upper Darby PA 19082-3112
Fax: (610) 352-2261
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS031321L Pennsylvania

Profile Details

NPI number 1952391096
LBN Legal business name Dai, Michelle L
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1952391096 NPPES
Pennsylvania MEDICAID 001922048-0001

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