Fleener, Michael

Fleener, Michael is an individual health care provider with primary practice located at 5345 Spring St , Davenport IA 52807-2764. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fleener, Michael can be contacted via phone (563) 359-1601.

Contact Information

Primary practice address
5345 Spring St Davenport IA 52807-2764
Phone: (563) 359-1601
Fax: (359) 355-7111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5840 Iowa

Profile Details

NPI number 1043279888
LBN Legal business name Fleener, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 9th, 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 1043279888 NPPES
Iowa MEDICAID 2155507
Iowa MEDICAID 0155507

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