Individual provider · Type 1 NPI

Bryan S. Michalowicz, DDS, MS

Periodontics · St. Paul, MN

NPI number 1306909023 Active

Practice location

2500 Como Avenue
St. Paul, MN 55108-1460

Fax (651) 429-6630

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X10028 (MN)

Periodontics: 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.

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About NPI 1306909023

Bryan S. Michalowicz, DDS, MS's National Provider Identifier is 1306909023, issued on Dec 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in St. Paul, MN. The record was last updated on Jan 5, 2015.