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Dr. Thomas R Michaelis, DDSMD
Oral and Maxillofacial Surgery (Dentist) in Costa Mesa, California
NPI 1518029115

Thomas R Michaelis is a Oral and Maxillofacial Surgery (Dentist) based in Newport Beach, CA and is specialized in Oral and Maxillofacial Surgery. Thomas R Michaelis practices in Costa Mesa, CA and has the professional credentials of DDSMD. The NPI Number for Thomas R Michaelis is 1518029115 and holds a License No. 42745 (California).

The current practice location address for Thomas R Michaelis is 1801 Newport Boulevard, Costa Mesa, CA and can be reached out via phone at 949-650-1030 and via fax at 949-722-2481.

Location: 1801 Newport Boulevard, Costa Mesa, CA, 92660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518029115
Provider Name
Thomas R Michaelis
Credential
DDSMD
Provider Entity Type
Individual
Gender
Male
Address
1801 Newport Boulevard, Costa Mesa, CA, 92660
Phone Number
949-650-1030
Fax Number
949-722-2481
Provider Enumeration Date
12/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1801 Newport Boulevard
City
Costa Mesa
State
California
Zip
92627
Phone Number
949-650-1030
Fax Number
949-722-2481
person
Provider Business Mailing Address Details
Address
1801 Newport Boulevard
City
Costa Mesa
State
California
Zip
92627
Phone Number
949-650-1030
Fax Number
949-722-2481
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
42745 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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