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Michong Son
General Practice Dentistry in Leominster, Massachusetts
NPI 1245644608

Michong Son is a General Practice Dentistry based in Chicago, MA and is specialized in General Practice. Michong Son practices in Leominster, MA. The NPI Number for Michong Son is 1245644608 and holds a License No. (Massachusetts).

The current practice location address for Michong Son is 55 Sack Blvd, Leominster, MA and can be reached out via phone at 978-466-6800. You can also correspond with Michong Son through the mailing address at 350 N CLARK ST FL 6, CHICAGO, IL - 60654-4712 (mailing address contact number: ).

Location: 55 Sack Blvd, Leominster, MA, 60654-4712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245644608
Provider Name
Michong Son
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Sack Blvd, Leominster, MA, 60654-4712
Phone Number
978-466-6800
Fax Number
Provider Enumeration Date
06/13/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
55 Sack Blvd
City
Leominster
State
Massachusetts
Zip
01453-3325
Phone Number
978-466-6800
Fax Number
person
Provider Business Mailing Address Details
Address
350 N Clark St Fl 6
City
Chicago
State
Illinois
Zip
60654-4712
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN1856614 (Massachusetts)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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