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Dr. Michael R Doctor, DDS,MS
Periodontist in Petoskey, Michigan
NPI 1255443321

Michael R Doctor is a Periodontist based in Petoskey, MI and is specialized in Periodontics. Michael R Doctor practices in Petoskey, MI and has the professional credentials of DDS,MS. The NPI Number for Michael R Doctor is 1255443321 and holds a License No. 2901014067 (Michigan).

The current practice location address for Michael R Doctor is 2115 M 119, Petoskey, MI and can be reached out via phone at 231-347-2518 and via fax at 231-347-8530.

Location: 2115 M 119, Petoskey, MI, 49770-8914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255443321
Provider Name
Michael R Doctor
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
2115 M 119, Petoskey, MI, 49770-8914
Phone Number
231-347-2518
Fax Number
231-347-8530
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5166284 01 MI BCBS OF MICHIGAN-MEDICAL
D140670 01 MI BCBS OF MICHIGAN-DENTAL
288090 05 MI
institution
Provider Business Practice Location Address Details
Address
2115 M 119
City
Petoskey
State
Michigan
Zip
49770-8914
Phone Number
231-347-2518
Fax Number
231-347-8530
person
Provider Business Mailing Address Details
Address
2115 M 119
City
Petoskey
State
Michigan
Zip
49770-8914
Phone Number
231-347-2518
Fax Number
231-347-8530
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
2901014067 (Michigan)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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