Picard, Urban Michael

Picard, Urban Michael is an individual health care provider with primary practice located at 15711 Madison Ave Ste 104 , Lakewood OH 44107-5655. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Picard, Urban Michael can be contacted via phone (216) 228-9000.

Contact Information

Primary practice address
15711 Madison Ave Ste 104 Lakewood OH 44107-5655
Phone: (216) 228-9000
Fax: (216) 228-8280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30.017754 Ohio

Profile Details

NPI number 1407885601
LBN Legal business name Picard, Urban Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407885601 NPPES
Ohio MEDICAID 0879581

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