Macey, Michelle

Macey, Michelle is an sole proprietor health care provider with primary practice located at 1338 Santa Rosa St , San Luis Obispo CA 93401-3780. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Macey, Michelle can be contacted via phone (805) 544-3221.

Contact Information

Primary practice address
1338 Santa Rosa St San Luis Obispo CA 93401-3780
Phone: (805) 544-3221
Fax: (805) 544-3221
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 31492 California

Profile Details

NPI number 1124154174
LBN Legal business name Macey, Michelle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Mar 7th, 2023 - about 2 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 1124154174 NPPES
California Other 31492 LISCENCE NUMBER

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