Provider Demographics
NPI:1255381513
Name:DACHOWSKI, MICHAEL T (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:DACHOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:105 LAKESIDE DRIVE
Mailing Address - Street 2:LAKESIDE OFFICE PARK
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-8004
Mailing Address - Country:US
Mailing Address - Phone:215-938-7860
Mailing Address - Fax:215-857-8189
Practice Address - Street 1:103 PROGRESS DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-1896
Practice Address - Country:US
Practice Address - Phone:215-938-7860
Practice Address - Fax:215-857-8189
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS024726L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery