Michael L. George DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00010038 Issued in WA

Legal business name

MICHAEL L. GEORGE DDS, MSD

Practice address

700 Avenue D.
Suite 101
Snohomish, WA 98290

Phone

(360) 568-1519

Fax

(360) 568-8935

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael L George, DDS, MSD

Title

Owner

Phone

(360) 568-1519

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1124106687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AVENUE D.",
            "address_2": "SUITE 101",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "360-568-1519",
            "fax_number": "360-568-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AVENUE D.",
            "address_2": "SUITE 101",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "98290",
            "telephone_number": "360-568-1519",
            "fax_number": "360-568-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. GEORGE DDS, MSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-568-1519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00010038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.