Provider Demographics
NPI:1497295398
Name:MICHAEL S. HESTWOOD, D.D.S., P.C.
Entity Type:Organization
Organization Name:MICHAEL S. HESTWOOD, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HESTWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-547-6146
Mailing Address - Street 1:431 N STEER ST
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:MI
Mailing Address - Zip Code:49220-9409
Mailing Address - Country:US
Mailing Address - Phone:517-547-6146
Mailing Address - Fax:517-547-6148
Practice Address - Street 1:431 N STEER ST
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:MI
Practice Address - Zip Code:49220-9409
Practice Address - Country:US
Practice Address - Phone:517-547-6146
Practice Address - Fax:517-547-6148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty