Provider Demographics
NPI:1467528125
Name:SANOR, MICHELLE ANNETTE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:ANNETTE
Last Name:SANOR
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 1:208 NW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-8619
Mailing Address - Country:US
Mailing Address - Phone:405-630-8154
Mailing Address - Fax:
Practice Address - Street 1:313 NW 61ST ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7400
Practice Address - Country:US
Practice Address - Phone:405-418-4999
Practice Address - Fax:405-286-9725
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK57821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice