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PETER G MICHALOS DDS INC. NPI 1003023318


NPI Information

NPI: 1003023318
Provider Name: PETER G MICHALOS DDS INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4368 DRESSLER RD NW
SUITE 203
CANTON, OH
ZIP 44718
Phone: (330) 492-0134
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PETER G MICHALOS DDS INC. is a general practice dentist in Canton, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PETER G MICHALOS DDS INC. NPI is 1003023318. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4368 DRESSLER RD NW
SUITE 203
CANTON, OH
ZIP 44718-771
Phone: (330) 492-0134
Fax: (330) 492-0410

The provider's authorized official is Peter G Michalos .
The authorized official title is President and has the following contact phone number (330) 492-0134.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 5/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice15190OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11598841421OTHEROHIONPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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