Kucsera, Michael John

Kucsera, Michael John is an individual health care provider with primary practice located at 1141 Pear Tree Ln Ste 100 , Napa CA 94558-6485. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Kucsera, Michael John can be contacted via phone (707) 258-6128.

Contact Information

Primary practice address
1141 Pear Tree Ln Ste 100 Napa CA 94558-6485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 014333 Michigan
Dental Providers / Dentist 122300000X 62278 California

Profile Details

NPI number 1154334480
LBN Legal business name Kucsera, Michael John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Mar 7th, 2023 - about last year

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 1154334480 NPPES
California Other 62278 DENTAL BOARD OF CALIFORNIA

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