Graham Michaux, Kerri-Ann

Graham Michaux, Kerri-Ann is an sole proprietor health care provider with primary practice located at 802 Sterthaus Dr Ste A , Ormond Beach FL 32174-5132. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Graham Michaux, Kerri-Ann can be contacted via phone (386) 868-4483.

Contact Information

Primary practice address
802 Sterthaus Dr Ste A Ormond Beach FL 32174-5132
Phone: (386) 868-4483
Fax: (321) 445-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16350 Florida

Profile Details

NPI number 1821062019
LBN Legal business name Graham Michaux, Kerri-Ann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Sep 23rd, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821062019 NPPES
Florida MEDICAID 075554100

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