Provider Demographics
NPI:1528398864
Name:THURMAN, MICHAEL M (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:M
Last Name:THURMAN
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
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Mailing Address - Street 1:1851 OAK ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3007
Mailing Address - Country:US
Mailing Address - Phone:661-395-0698
Mailing Address - Fax:661-395-0530
Practice Address - Street 1:1851 OAK ST
Practice Address - Street 2:SUITE B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3007
Practice Address - Country:US
Practice Address - Phone:661-395-0698
Practice Address - Fax:661-395-0530
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA590411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics