Provider Demographics
NPI:1255321378
Name:MICHEL, MICHAEL E (DDS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:MICHEL
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 1:3033 SW VILLA WEST DR STE B
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4488
Mailing Address - Country:US
Mailing Address - Phone:785-640-2237
Mailing Address - Fax:785-273-7350
Practice Address - Street 1:3033 SW VILLA WEST DR STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4488
Practice Address - Country:US
Practice Address - Phone:785-273-0801
Practice Address - Fax:785-273-7350
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS57521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice