Michael S Thibault, PAC
Physician Assistant in Danbury, Connecticut
1659324515- Practice location
- 25 Tamarack Avenue, Advanced Derm Care, PC, Danbury, CT 06811
- Phone
- 203-797-8990
- Fax
- 203-748-7861
- Last updated
- January 16, 2026
Michael Stanley Thibault is a Physician Assistant based in Danbury, CT. Michael Stanley Thibault practices in Danbury, CT and has the professional credentials of PAC. The NPI Number for Michael Stanley Thibault is 1659324515 and holds a License No. PA 1933 (CO). The current practice location address for Michael Stanley Thibault is 25 Tamarack Avenue, Advanced Derm Care, PC, Danbury, CT 06811 and can be reached out via phone at 203-797-8990 and via fax at 203-748-7861.
Provider Profile Details
- NPI Number
- 1659324515
- Provider Name
- Michael Stanley Thibault
- Credential
- PAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Tamarack Avenue, Advanced Derm Care, PC, Danbury, CT 06811
- Phone Number
- 203-797-8990
- Fax Number
- 203-748-7861
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 19, 2006
- Last Update Date
- January 16, 2026
- Certification Date
- January 16, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Tamarack Avenue
Advanced Derm Care, PC
Danbury, CT 06811 - City
- Danbury
- State
- Connecticut
- Zip
- 06811
- Phone Number
- 203-797-8990
- Fax Number
- 203-748-7861
Provider Business Mailing Address Details
- Address
- 25 Tamarack Avenue
Advanced Derm Care, PC
Danbury, CT 06811 - City
- Danbury
- State
- CT
- Zip
- 06811
- Phone Number
- 203-797-8990
- Fax Number
- 203-748-7861
License Information
- License Number (1)
- PA 1933
- License State (1)
- CO
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 1389
- License State (2)
- CT
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
- License Number (3)
- 001389
- License State (3)
- CT
- Taxonomy (3)
- Dermatology · 207N00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Michael S Thibault, PAC?
The NPI number of Michael S Thibault, PAC is 1659324515. It was assigned on May 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Michael S Thibault, PAC?
Michael S Thibault, PAC is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CO under license number PA 1933.
Where does Michael S Thibault, PAC practice?
The practice location is 25 Tamarack Avenue, Advanced Derm Care, PC, Danbury, CT 06811. The office can be reached at 203-797-8990 (phone) or 203-748-7861 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659324515 directly on the NPPES registry website.