Provider Demographics
NPI:1508482209
Name:HANK D MICHEL DMD PA
Entity Type:Organization
Organization Name:HANK D MICHEL DMD PA
Other - Org Name:SARASOTA DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HANK
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-929-7645
Mailing Address - Street 1:5757 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-4136
Mailing Address - Country:US
Mailing Address - Phone:941-929-7645
Mailing Address - Fax:941-921-6909
Practice Address - Street 1:5757 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-4136
Practice Address - Country:US
Practice Address - Phone:941-929-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-19
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental