Provider Demographics
NPI:1427223700
Name:PRESS, MICHAEL JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:PRESS
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 1:1150 HAMMOND DR. N.E.
Mailing Address - Street 2:SUITE D-4200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-5335
Mailing Address - Country:US
Mailing Address - Phone:770-395-0551
Mailing Address - Fax:678-441-9440
Practice Address - Street 1:1150 HAMMOND DR. N.E.
Practice Address - Street 2:SUITE D-4200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5335
Practice Address - Country:US
Practice Address - Phone:770-395-0551
Practice Address - Fax:678-441-9440
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA85361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice