Dorsey, Michelle M.
Dorsey, Michelle M. is an sole proprietor health care provider with primary practice located at 325 E Merritt Island Cswy Ste M , Merritt Island FL 32952-3670. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Dorsey, Michelle M. can be contacted via phone (321) 454-4440.Contact Information
Primary practice address
325 E Merritt Island Cswy Ste M
Merritt Island FL 32952-3670
Phone: (321) 454-4440
Fax: (321) 454-9140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN13060 | Florida |
Profile Details
| NPI number | 1639486640 |
|---|---|
| LBN Legal business name | Dorsey, Michelle M. |
| Credentials | D.M.D., M.A.G.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2010 |
| Last updated | Sep 13th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639486640 | NPPES |
| Florida | Other | 001625500 | MEDICAID WAIVER PROVIDER |
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