Michael E. Ewert, DDS

Dentist · Crestline, CA

Individual Active NPI

NPI number 1407160658

Practice location

580 Forest Shade Rd #2
Crestline, CA 92325
Phone
(909) 338-7731
Fax
(909) 338-8162

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NPI record

NPI
1407160658
Entity type
Individual (Type 1)
Enumeration date
July 29, 2010
Last updated
July 29, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 32458 CA

Mailing address

PO Box 4093
Crestline, CA 92325
Phone
(909) 338-7731
Fax
(909) 338-8162

About Dr. Ewert

Michael E. Ewert, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 580 Forest Shade Rd #2, Crestline, CA 92325. The NPI number 1407160658 was assigned on July 29, 2010 and the record was last updated on July 29, 2010.

Dr. Ewert lists a license in the registry: #32458 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael E. Ewert, DDS?

The NPI number is 1407160658.

What is the phone number of Dr. Ewert?

The phone number listed for the practice location is (909) 338-7731.

Where is Dr. Ewert located?

580 Forest Shade Rd #2, Crestline, CA 92325.

What is the taxonomy code for Dr. Ewert?

The primary taxonomy code is 122300000X – Dentist.

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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