Michael, Deanna R

Michael, Deanna R is an individual health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Michael, Deanna R can be contacted via phone (973) 429-6037.

Contact Information

Primary practice address
1 Bay Ave Montclair NJ 07042-4837
Phone: (973) 429-6037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 22DI02533800 New Jersey

Profile Details

NPI number 1598031932
LBN Legal business name Michael, Deanna R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2012
Last updated Sep 26th, 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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