Robert M Michaud DMD, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN17693 Issued in FL

Legal business name

ROBERT M MICHAUD DMD, PA

Practice address

1311 W Busch Blvd
Tampa, FL 33612-7709

Phone

(813) 935-3585

Fax

(813) 930-9211

NPI assigned

Jun 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Michael Michaud, DMD

Title

President

Phone

(813) 935-3585

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1063671428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127709",
            "telephone_number": "813-935-3585",
            "fax_number": "813-930-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W BUSCH BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127709",
            "telephone_number": "813-935-3585",
            "fax_number": "813-930-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M MICHAUD DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-935-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.