Michale Lee Boothe in Anchorage - Dentist

Michale Lee Boothe - NPI 1629077441

Michale Lee Boothe is a Dentist in Anchorage, Alaska. Michale Lee Boothe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michale Lee Boothe is 1629077441. The last update date is 2007-08-29.

Michale Lee Boothe's current location address is 121 W Fireweed Ln, Anchorage, Alaska. You can contact this provider via phone number 9072765522 and fax number 9072778026. The mailing address for Michale Lee Boothe is 121 W Fireweed Ln, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Michale Lee Boothe
Address 121 W Fireweed Ln, Anchorage, Alaska
Phone Number 9072765522
Fax Number 9072778026
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1629077441
Provider Enumeration Date 2005-07-14
Last Updated Date 2007-08-29

Provider Mailing Address Detail

Address 121 W Fireweed Ln
City Anchorage
State Alaska (AK)
Post Code 995032053
Phone Number 9072765522
Fax Number 9072778026

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No AA0577
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Michale Lee Boothe

What is the Michale Lee Boothe's unique identification number?

The Michale Lee Boothe has been assigned the NPI (National Provider Identifier) Number 1629077441 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Michale Lee Boothe?

The Michale Lee Boothe is situated at 121 W Fireweed Ln, in the city of Anchorage, state of AK, with the zip code 995032053.

What is the area of specialization for Michale Lee Boothe, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michale Lee Boothe is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629077441 to Michale Lee Boothe?

The Centers for Medicare & Medicaid Services originally issued the 1629077441 to Michale Lee Boothe on 2005-07-14.

As of what date was the information regarding Michale Lee Boothe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michale Lee Boothe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-29.

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