Provider Demographics
NPI:1821467903
Name:MICHELLE HAGHPANAH D.D.S., M.P.H., P.C.
Entity Type:Organization
Organization Name:MICHELLE HAGHPANAH D.D.S., M.P.H., P.C.
Other - Org Name:LITTLE BYTES PEDIATRIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGHPANAH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-770-9679
Mailing Address - Street 1:3732 FEATHER LANE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:853 MIDDLEFIELD ROAD
Practice Address - Street 2:SUITE #2
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301
Practice Address - Country:US
Practice Address - Phone:203-770-9679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-18
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601621223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty