Michael John Booth, DDS

General Practice Dentistry · Fraser, MI

Individual Active NPI

NPI number 1063490118

Practice location

32560 Utica Rd
Fraser, MI 48026-2215
Phone
(586) 293-8530
Fax
(586) 293-6539

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NPI record

NPI
1063490118
Entity type
Individual (Type 1)
Enumeration date
January 8, 2006
Last updated
August 10, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 13125 MI

About Dr. Booth

Michael John Booth, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 32560 Utica Rd, Fraser, MI 48026-2215. The NPI number 1063490118 was assigned on January 8, 2006 and the record was last updated on August 10, 2016.

Dr. Booth lists a license in the registry: #13125 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael John Booth, DDS?

The NPI number is 1063490118.

What is the phone number of Dr. Booth?

The phone number listed for the practice location is (586) 293-8530.

Where is Dr. Booth located?

32560 Utica Rd, Fraser, MI 48026-2215.

What is the taxonomy code for Dr. Booth?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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