Active NPIIndividual providerSole proprietor

Dr. Michael Israel, DDS

Dentist, Periodontics in Waterbury, Connecticut

NPI Number1710008842
Practice location
26 Lakeside Blvd E, Waterbury, CT 06708-2913
Fax
203-754-2716
Last updated
July 8, 2007

Michael Israel is a Dentist, Periodontics based in Waterbury, CT. Michael Israel practices in Waterbury, CT and has the professional credentials of DDS. The NPI Number for Michael Israel is 1710008842 and holds a License No. 5218 (CT). The current practice location address for Michael Israel is 26 Lakeside Blvd E, Waterbury, CT 06708-2913 and can be reached out via phone at 203-754-4123 and via fax at 203-754-2716.

Provider Profile Details

NPI Number
1710008842
Provider Name
Michael Israel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
26 Lakeside Blvd E, Waterbury, CT 06708-2913
Phone Number
203-754-4123
Fax Number
203-754-2716
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Lakeside Blvd E
Waterbury, CT 06708-2913
Zip
06708-2913
Phone Number
203-754-4123
Fax Number
203-754-2716
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
26 Lakeside Blvd E
Waterbury, CT 06708-2913
City
Waterbury
State
CT
Zip
06708-2913
Phone Number
203-754-4123
Fax Number
203-754-2716

License Information

License Number
5218
License State
CT
Taxonomy
Dentist, Periodontics · 1223P0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Michael Israel, DDS?

The NPI number of Dr. Michael Israel, DDS is 1710008842. It was assigned on April 3, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael Israel, DDS?

Dr. Michael Israel, DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in CT under license number 5218.

Where does Dr. Michael Israel, DDS practice?

The practice location is 26 Lakeside Blvd E, Waterbury, CT 06708-2913. The office can be reached at 203-754-4123 (phone) or 203-754-2716 (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 1710008842 directly on the NPPES registry website.

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