Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL MCDERMOTT, D.D.S.
Active Sole ProprietorMICHAEL MCDERMOTT, D.D.S. is a Orthodontics healthcare provider located in BRAINERD, Minnesota. NPI 1649481714 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BRAINERD, MN
Registration Details
- NPI Number
- 1649481714
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2007 (19.264576769388 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D11234 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
304 E RIVER RDBRAINERD, MN, 564013560Browse MN providers · Browse ZIP 56401
- Phone
- 2188291630
- Primary Specialty
-
Orthodontics
1223X0400X
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.