Michael L. Gailey, DDS
Individual provider Active NPI General Practice Dentistry · Syracuse, UT
NPI 1194755652 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194755652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 141253-9922 (UT)
- Practice address
- 1747 Heritage LN
Suite B201
Syracuse, UT 84075-8552 - Phone
- (801) 776-2461
- Fax
- (801) 776-2469
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|
| 141253-9922 | UT | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 141253-9922 | UT | Yes |
Addresses
Primary practice location
1747 Heritage LN
Suite B201
Syracuse, UT 84075-8552
Mailing address
1747 Heritage LN
Suite B201
Syracuse, UT 84075-8552
Phone (801) 776-2461
Other providers in Syracuse, UT
- Wendy L Fisher
- Nathan Cyrus Foote
- Alisha Fox
- Bryce Freeland
- Friends for Life, LLC
- Melissa Renee Garcia Perez
- April Nayomi Garcia Valdez
- Jeremy Grant Godderidge
- Tanner Cole Godfrey
- Karina Gomez Perez
All providers in Syracuse, UT · General Practice Dentistry in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.