Individual provider · Type 1 NPI

Paul L. Michaelides, DDS

Periodontics · Fresno, CA

NPI number 1306930748 Active

Practice location

2503 W. Shaw, Suite 105
Fresno, CA 93711-3309

Call (155) 922-9450 Map

Fax (155) 922-6128

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X24486 (CA)

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 1306930748

Paul L. Michaelides, DDS's National Provider Identifier is 1306930748, issued on Oct 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fresno, CA. The record was last updated on Jul 8, 2007.