Provider Demographics
NPI:1578595880
Name:DAY, MICHAEL MARTI (DDS)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:MARTI
Last Name:DAY
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 1:2261 PYRAMID WAY
Mailing Address - Street 2:SUITE #7
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-2189
Mailing Address - Country:US
Mailing Address - Phone:775-358-5265
Mailing Address - Fax:775-358-5233
Practice Address - Street 1:2261 PYRAMID WAY
Practice Address - Street 2:SUITE #7
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-2189
Practice Address - Country:US
Practice Address - Phone:775-358-5265
Practice Address - Fax:775-358-5233
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV09831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice