Provider Demographics
NPI:1407028228
Name:YOWELL, MICHAEL V (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:V
Last Name:YOWELL
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 1:1540 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-1904
Mailing Address - Country:US
Mailing Address - Phone:620-241-0842
Mailing Address - Fax:620-241-0887
Practice Address - Street 1:1540 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-1904
Practice Address - Country:US
Practice Address - Phone:620-241-0842
Practice Address - Fax:620-241-0887
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist