Provider Demographics
NPI:1275554065
Name:HAUSER, MICHAEL S (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:HAUSER
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Gender:M
Credentials:DMD, MD
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Mailing Address - Street 1:23250 CHAGRIN BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-464-1200
Mailing Address - Fax:216-765-1772
Practice Address - Street 1:23250 CHAGRIN BLVD
Practice Address - Street 2:STE 205
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-464-1200
Practice Address - Fax:216-765-1772
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH300184311223S0112X
OH35054653208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice