Selleck, Michael James

Selleck, Michael James is an individual health care provider with primary practice located at 935 Moraga Rd Suite 101, Lafayette CA 94549-4584. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Selleck, Michael James can be contacted via phone (925) 283-0338.

Contact Information

Primary practice address
935 Moraga Rd Suite 101 Lafayette CA 94549-4584
Phone: (925) 283-0338
Fax: (925) 283-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 24502 California

Profile Details

NPI number 1275747651
LBN Legal business name Selleck, Michael James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Mar 11th, 2013 - about 12 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 1275747651 NPPES
California Other 20-2381272 TAX

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