Mccunniff, Michael Lee
Mccunniff, Michael Lee is an individual health care provider with primary practice located at 1350 Se University Ave , Waukee IA 50263-8933. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Mccunniff, Michael Lee can be contacted via phone (319) 939-4105.Contact Information
Primary practice address
1350 Se University Ave
Waukee IA 50263-8933
Phone: (319) 939-4105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D10504 | Oregon |
| Dental Providers / Endodontics | 1223E0200X | DDS-09490 | Iowa |
Profile Details
| NPI number | 1245783430 |
|---|---|
| LBN Legal business name | Mccunniff, Michael Lee |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2016 |
| Last updated | Jun 2nd, 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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