Provider Demographics
NPI:1245848738
Name:MICHAEL FRANCES LAHEY DDS
Entity type:Organization
Organization Name:MICHAEL FRANCES LAHEY DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WYBENGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-400-4997
Mailing Address - Street 1:301 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49651-5102
Mailing Address - Country:US
Mailing Address - Phone:231-839-4673
Mailing Address - Fax:231-838-7874
Practice Address - Street 1:301 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:MI
Practice Address - Zip Code:49651-5102
Practice Address - Country:US
Practice Address - Phone:231-839-4673
Practice Address - Fax:231-838-7874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty