Mcnaught, Michael Justin

Mcnaught, Michael Justin is an sole proprietor health care provider with primary practice located at 535 Bell Trace Ct , Clarksville TN 37040. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Mcnaught, Michael Justin can be contacted via phone (931) 999-7100.

Contact Information

Primary practice address
535 Bell Trace Ct Clarksville TN 37040
Fax: (931) 999-7101
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2007015579 Missouri
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS0000009766 Tennessee

Profile Details

NPI number 1124222435
LBN Legal business name Mcnaught, Michael Justin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2007
Last updated Nov 18th, 2021 - about 3 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 1124222435 NPPES
Tennessee MEDICAID Q015358

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