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DR. MICHAEL POTH D.D.S. M.S. NPI 1578549804


NPI Information

NPI: 1578549804
Provider Name: DR. MICHAEL POTH, D.D.S., M.S.
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH
ZIP 45433
Phone: (937) 656-3913
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DR. Michael Poth, D.D.S., M.S. is a periodontics dentist in Wright-patterson Afb, OH. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Michael Poth, D.D.S., M.S. NPI is 1578549804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH
ZIP 45433
Phone: (937) 656-3913

The NPI 1578549804 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/19/2005 and was last updated on 6/14/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics19153OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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