Michael Thomas Prudhomme, D.D.S.

General Practice Dentistry · Clarkston, MI

Individual Active NPI

NPI number 1275584732

Practice location

5760 Clarkston Rd.
Suite a
Clarkston, MI 48348-4706
Phone
(248) 625-9001
Fax
(248) 625-8729

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NPI record

NPI
1275584732
Entity type
Individual (Type 1)
Enumeration date
May 12, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11854 MI

About Dr. Prudhomme

Michael Thomas Prudhomme, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5760 Clarkston Rd., Suite a, Clarkston, MI 48348-4706. The NPI number 1275584732 was assigned on May 12, 2006 and the record was last updated on July 8, 2007.

Dr. Prudhomme lists a license in the registry: #11854 (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 Thomas Prudhomme, D.D.S.?

The NPI number is 1275584732.

What is the phone number of Dr. Prudhomme?

The phone number listed for the practice location is (248) 625-9001.

Where is Dr. Prudhomme located?

5760 Clarkston Rd., Suite a, Clarkston, MI 48348-4706.

What is the taxonomy code for Dr. Prudhomme?

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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