Fackler, Michelle

Fackler, Michelle is an individual health care provider with primary practice located at 375 Fulton St , Farmingdale NY 11735-3454. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is her primary health care specialty. Fackler, Michelle can be contacted via phone (516) 249-1188.

Contact Information

Primary practice address
375 Fulton St Farmingdale NY 11735-3454
Phone: (516) 249-1188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Prosthodontics 1223P0700X 069155 New York

Profile Details

NPI number 1497251961
LBN Legal business name Fackler, Michelle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2018
Last updated Nov 20th, 2021 - about 5 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.

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