Provider Demographics
NPI:1770711558
Name:POSADA OROZCO, MICHAEL (DMD, MSD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:POSADA OROZCO
Suffix:
Gender:M
Credentials:DMD, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2990 RICHMOND AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-2311
Mailing Address - Country:US
Mailing Address - Phone:832-271-8033
Mailing Address - Fax:713-750-9052
Practice Address - Street 1:2990 RICHMOND AVE STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-2311
Practice Address - Country:US
Practice Address - Phone:832-271-8033
Practice Address - Fax:713-750-9052
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH039871223P0221X
MADN18562481223P0221X
TX316661223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX359904501Medicaid