Provider Demographics
NPI:1033156203
Name:COURET, MICHEL EMILE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:EMILE
Last Name:COURET
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 GREELEY ST
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4460
Mailing Address - Country:US
Mailing Address - Phone:603-424-7676
Mailing Address - Fax:603-429-2092
Practice Address - Street 1:22 GREELEY ST
Practice Address - Street 2:SUITE 11
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4460
Practice Address - Country:US
Practice Address - Phone:603-424-7676
Practice Address - Fax:603-429-2092
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH89191496Medicaid
NH30313976Medicaid