Provider Demographics
NPI:1255799508
Name:MICHAEL M. THURMAN, DDS, MSD, INC.
Entity type:Organization
Organization Name:MICHAEL M. THURMAN, DDS, MSD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:MURRY
Authorized Official - Last Name:THURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:661-395-0698
Mailing Address - Street 1:9550 BRIMHALL RD STE B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2231
Mailing Address - Country:US
Mailing Address - Phone:661-395-0698
Mailing Address - Fax:661-395-0698
Practice Address - Street 1:9550 BRIMHALL RD STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2231
Practice Address - Country:US
Practice Address - Phone:661-395-0698
Practice Address - Fax:661-395-0698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590411223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty