DR. Thomas David Mcmichael JR., D.D.S.

NPI #1124220330 in Mandeville, Louisiana

Provider Information

NPI Number: 1124220330
Entity Type: Individual
Name: DR. Thomas David Mcmichael JR., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jun 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 215 ST. ANN DR.
Address 2: SUITE 5
City: Mandeville
State: Louisiana
ZIP Code: 70471
Phone: (985) 626-8157

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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