Provider Demographics
NPI:1245316652
Name:MIGHION, HARRY C (DDS)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:C
Last Name:MIGHION
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 1:37976 S GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036
Mailing Address - Country:US
Mailing Address - Phone:586-469-0931
Mailing Address - Fax:586-469-0934
Practice Address - Street 1:37976 S GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036
Practice Address - Country:US
Practice Address - Phone:586-469-0931
Practice Address - Fax:586-469-0934
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI711122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5506711OtherBLUE CARE NETWORK
0005868224OtherUS HEALTH CARE AETNA
13138AOtherHAP
1955067110OtherMBS
191039210161OtherHUMANA
0005868224OtherUS HEALTH CARE AETNA