Provider Demographics
NPI:1467566471
Name:ABELS, MICHAEL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:ABELS
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 1:16 W LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-2932
Mailing Address - Country:US
Mailing Address - Phone:314-961-0020
Mailing Address - Fax:314-961-2165
Practice Address - Street 1:16 W LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-2932
Practice Address - Country:US
Practice Address - Phone:314-961-0020
Practice Address - Fax:314-961-2165
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO139621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice