Michaelis, Thomas R

Michaelis, Thomas R is an individual health care provider with primary practice located at 1801 Newport Boulevard Suite C, Costa Mesa CA 92627. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Michaelis, Thomas R can be contacted via phone (949) 650-1030.

Contact Information

Primary practice address
1801 Newport Boulevard Suite C Costa Mesa CA 92627
Phone: (949) 650-1030
Fax: (949) 722-2481
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 42745 California

Profile Details

NPI number 1518029115
LBN Legal business name Michaelis, Thomas R
Credentials DDS MD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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