Provider Demographics
NPI:1083649347
Name:HANDEL, MICHELLE SUSAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:SUSAN
Last Name:HANDEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20401 STATE RD 7
Mailing Address - Street 2:SUITE G14
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498
Mailing Address - Country:US
Mailing Address - Phone:561-470-1109
Mailing Address - Fax:561-470-9728
Practice Address - Street 1:20401 STATE RD 7
Practice Address - Street 2:SUITE G14
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498
Practice Address - Country:US
Practice Address - Phone:561-470-1109
Practice Address - Fax:561-470-9728
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14584122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist