Provider Demographics
NPI:1437362407
Name:MCGILL, MICHELE FRANCES (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:FRANCES
Last Name:MCGILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9362 FOLKSTONE CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-7959
Mailing Address - Country:US
Mailing Address - Phone:714-964-6590
Mailing Address - Fax:714-964-8889
Practice Address - Street 1:1530 BAKER ST
Practice Address - Street 2:SUITE J
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3752
Practice Address - Country:US
Practice Address - Phone:714-557-0700
Practice Address - Fax:714-557-1810
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice