Joel C Michelson in Owatonna - Oral And Maxillofacial Surgery

Joel C Michelson - NPI 1649215328

Joel C Michelson is a Oral And Maxillofacial Surgery in Owatonna, Minnesota. Joel C Michelson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Joel C Michelson is 1649215328. The last update date is 2007-07-08.

Joel C Michelson's current location address is 605 Hillcrest Ave, Owatonna, Minnesota. You can contact this provider via phone number 5074510290 and fax number 5074510291. The mailing address for Joel C Michelson is 605 Hillcrest Ave, Owatonna, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel C Michelson
Address 605 Hillcrest Ave, Owatonna, Minnesota
Phone Number 5074510290
Fax Number 5074510291
Sole Proprietor X
Credentials D.D.S.

NPI Number Detail

NPI Number 1649215328
Provider Enumeration Date 2006-06-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 605 Hillcrest Ave
City Owatonna
State Minnesota (MN)
Post Code 550603680
Phone Number 5074510290
Fax Number 5074510291

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D10189
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1008933 MN PREFERRED ONE
35474MI MN BCBS
11096 MN DORAL
118047 MN UCARE MN

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FAQs about Joel C Michelson

What is the unique 10-digit identifier code assigned to Joel C Michelson by the Centers for Medicare & Medicaid Services?

The Joel C Michelson has been issued the NPI (National Provider Identifier) 1649215328 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Joel C Michelson is located?

The Joel C Michelson is situated at the following address: 605 Hillcrest Ave, Owatonna, MN, 550603680.

What is Joel C Michelson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joel C Michelson is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

On what date did the Joel C Michelson receive its 1649215328 assignment from the Centers for Medicare & Medicaid Services?

The Joel C Michelson was assigned its 1649215328 by the Centers for Medicare & Medicaid Services on 2006-06-18.

As of what date were the details pertaining to Joel C Michelson last refreshed?

The information related to the Joel C Michelson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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