Staveris, Michael Alexander

Staveris, Michael Alexander is an sole proprietor health care provider with primary practice located at 3992 Foothills Blvd Suite 120, Roseville CA 95747-7280. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Staveris, Michael Alexander can be contacted via phone (916) 782-7808.

Contact Information

Primary practice address
3992 Foothills Blvd Suite 120 Roseville CA 95747-7280
Fax: (916) 782-7466
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 32184 California

Profile Details

NPI number 1407901150
LBN Legal business name Staveris, Michael Alexander
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers