Shirley, Michael Dale

Shirley, Michael Dale is an individual health care provider with primary practice located at 4302 Summer Ave , Memphis TN 38122-4000. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shirley, Michael Dale can be contacted via phone (901) 683-3849.

Contact Information

Primary practice address
4302 Summer Ave Memphis TN 38122-4000
Phone: (901) 683-3849
Fax: (901) 685-7734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS0000005139 Tennessee

Profile Details

NPI number 1295719532
LBN Legal business name Shirley, Michael Dale
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 13th, 2026 - about 4 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295719532 NPPES
Tennessee Other 0160274 BLUE CROSS BLUE SHIELD

Popular Providers