Maak, Michelle Kristin

Maak, Michelle Kristin is an sole proprietor health care provider with primary practice located at 6268 S 900 E Ste 100, Salt Lake City UT 84121-2497. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Maak, Michelle Kristin can be contacted via phone (801) 566-5117.

Contact Information

Primary practice address
6268 S 900 E Ste 100 Salt Lake City UT 84121-2497
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 054597 New York

Profile Details

NPI number 1811129919
LBN Legal business name Maak, Michelle Kristin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2009
Last updated Jun 11th, 2019 - about 5 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 1811129919 NPPES
Utah Other 7372659-9924 LICENSE

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