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
Phone: (801) 566-5117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811129919 | NPPES |
| Utah | Other | 7372659-9924 | LICENSE |
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