Michael Verlyn Dabell, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D-4099-OS Issued in ID

Practice address

1550 N Crestmont Dr Ste G
Meridian, ID 83642-2177

Phone

(208) 884-0100

Fax

(208) 884-4844

NPI assigned

Oct 29, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1861645202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N CRESTMONT DR STE G",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422177",
            "telephone_number": "208-884-0100",
            "fax_number": "208-884-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N CRESTMONT DR STE G",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422177",
            "telephone_number": "208-884-0100",
            "fax_number": "208-884-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABELL",
        "first_name": "MICHAEL",
        "middle_name": "VERLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-29",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DR 60035396",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "ID",
            "license": "D-4099-OS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Curtis, O.P.A.-C
• Bretta Lee Cyr, PA
• Hrefna Czaja, MS, CCC-SLP
• Collin Anthony Czajka, DMD
• D&G Medical Associates PLLC
• John Keith Dahl
• N Eric Dahl, D.C.
• Ryan Dale, DPT
• Abigail D Daley, PA-C
• Natalie Diane Daley

• Oral and Maxillofacial Surgery (Dentist) in Meridian, ID
• Providers in Meridian, ID by specialty
• Oral and Maxillofacial Surgery (Dentist) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.