Provider Demographics
NPI:1578724316
Name:ATKINS, MICHAEL SETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SETH
Last Name:ATKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SETH
Other - Middle Name:
Other - Last Name:ATKINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:110 PARK PLACE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1214
Mailing Address - Country:US
Mailing Address - Phone:972-937-8433
Mailing Address - Fax:972-938-9655
Practice Address - Street 1:110 PARK PLACE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1214
Practice Address - Country:US
Practice Address - Phone:972-937-8433
Practice Address - Fax:817-201-9765
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX239841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice