Provider Demographics
NPI:1578553285
Name:ISEMAN, MICHAEL FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FRANCIS
Last Name:ISEMAN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:1230 N BROADMOOR AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3891
Mailing Address - Country:US
Mailing Address - Phone:316-630-0090
Mailing Address - Fax:316-630-0099
Practice Address - Street 1:1230 N BROADMOOR AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3891
Practice Address - Country:US
Practice Address - Phone:316-630-0090
Practice Address - Fax:316-630-0099
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS602481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry