Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY D. MICHEL, DDS
ActiveDR. JERRY D. MICHEL, DDS is a General Dentistry healthcare provider located in FT WOOD, Missouri. NPI 1639131840 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FT WOOD, MO
Registration Details
- NPI Number
- 1639131840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2006 (20.376780043614 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
011804 (MO)4931 (KS)
Practice Information
- Address
-
4TH AND WEST VIRGINIABLDG 500 HARPER DENTAL CLINICFT WOOD, MO, 65473Browse MO providers · Browse ZIP 65473
- Phone
- 5735960408
- Fax
- 5735960314
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.