Michael Martin Myers, DDS
Individual provider Active NPI General Practice Dentistry · Holton, KS
NPI 1114455482 · NPPES record last updated May 31, 2017
Key facts
- NPI
- 1114455482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 61404 (KS)
- Practice address
- 208 W 4TH St
Holton, KS 66436-1784 - Phone
- (785) 364-4636
- NPI assigned
- May 31, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61404 | KS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61404 | KS | Yes |
Addresses
Primary practice location
208 W 4TH St
Holton, KS 66436-1784
Mailing address
1128 SW Camden LN
Topeka, KS 66604-1979
Phone (785) 817-6115
Other providers in Holton, KS
- Medicalodges, Inc.
- Medicalodges, Inc.
- Medicalodges. Inc.
- Nicole L Meerpohl
- Michelle Mulkey
- Nasco, Inc.
- Kevin K Nasseri
- Nicole L. Meerpohl, OD
- Stacey Niehues
- Janae D Nilges
All providers in Holton, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.