Provider Demographics
NPI:1225341522
Name:FURTADO ARAUJO, MICHEL VICTOR (DDS, MSC, MDS)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:VICTOR
Last Name:FURTADO ARAUJO
Suffix:
Gender:M
Credentials:DDS, MSC, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 US HIGHWAY 259 N
Mailing Address - Street 2:APARTMENT 418
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-8052
Mailing Address - Country:US
Mailing Address - Phone:859-457-0517
Mailing Address - Fax:
Practice Address - Street 1:444 FOREST SQ
Practice Address - Street 2:SUITE A
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4463
Practice Address - Country:US
Practice Address - Phone:903-758-3329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX292611223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics