Provider Demographics
NPI:1184736605
Name:DOLLAR, MICHEAL Z (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHEAL
Middle Name:Z
Last Name:DOLLAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MEDICAL PARK
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2209
Mailing Address - Country:US
Mailing Address - Phone:256-362-3456
Mailing Address - Fax:
Practice Address - Street 1:6 MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2209
Practice Address - Country:US
Practice Address - Phone:256-362-3456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL51491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009937753Medicaid
AL009936613Medicaid
AL009937753Medicaid