Kanellis, Michael James

Kanellis, Michael James is an individual health care provider with primary practice located at 322 S Dental Science Bldg , Iowa City IA 52242-1001. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Kanellis, Michael James can be contacted via phone (319) 384-1139.

Contact Information

Primary practice address
322 S Dental Science Bldg Iowa City IA 52242-1001
Phone: (319) 384-1139
Fax: (319) 384-1785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 06521 Iowa

Profile Details

NPI number 1518061209
LBN Legal business name Kanellis, Michael James
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Feb 21st, 2013 - about 12 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 1518061209 NPPES
Iowa MEDICAID 1007047

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