DR. MICHAEL JOHN BOOTH (NPI# 1063490118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063490118 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN BOOTH |
| Credential | DDS |
| Practice Address |
32560 Utica Rd Fraser MI 48026-2215 |
| Practice Telephone | 5862938530 |
| Practice Fax Number | 5862936539 |
| Mailing Telephone | 5862938530 |
| Mailing Fax Number | 5862936539 |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13125 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811460082 | Michael Kent Booth | Specialist/Technologist | 636 Silver Run Rd, Millville, NJ 08332-7313 | 2019-01-09 |
| 1770639171 | Michael S. Booth | Dentist | 1305 Physicians Dr., Wilmington, NC 28401-7352 | 2007-01-26 |
| 1588672778 | Michael D. Booth | Counselor | 15150 Preston Rd, Suite 300, Dallas, TX 75248-4877 | 2006-08-03 |
| 1407846231 | Michael Edward Booth | Physician Assistant | 160 Creekside Way, Ste. 602, Resolute Family Urgent Care, New Braunfels, TX 78130 | 2005-10-24 |
| 1518960863 | Michael A Booth | Chiropractor | 5529 Fm 359 Rd, Ste A, Richmond, TX 77469-9659 | 2005-05-31 |
| 1497354203 | Michael Kemper Booth | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-22 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1740749035 | Michael Booth | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2019-03-15 |
| 1811408313 | Michael Tyler Booth | Physician Assistant | 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417-1306 | 2017-10-24 |
| 1184073629 | Michael Booth | Student in an Organized Health Care Education/Training Program | 200 Clinic Dr, Madisonville, KY 42431-1661 | 2016-06-06 |
| Street Address |
32560 UTICA RD |
| City | FRASER |
| State | MI |
| Zip Code | 48026-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416258 | Sandra Marie Delaney | Day Training, Developmentally Disabled Services | 18640 E. 14 Mile, A5, Fraser, MI 48026 | 2018-11-21 |
| 1215406624 | Fraser Rx Pharmacy LLC | Pharmacy | 16861 E 14 Mile Rd., Fraser, MI 48026 | 2018-11-14 |
| 1457507519 | Michael Richard Abood | Dentist | 16128 15 Mile, Suite 4, Fraser, MI 48026 | 2008-08-08 |
| 1316095342 | Martha Sue Vaneenenaam-iwanicki | Specialist/Technologist | Fraser High School, 34270 Garfield, Fraser, MI 48026 | 2007-01-08 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1447326244 | Fraser Optical Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 32925 Groesbeck Highway, Fraser, MI 48026 | 2006-11-27 |
| 1699849885 | Luis Collazo | Family Medicine | 31022 Utica Rd., Fraser, MI 48026 | 2006-11-20 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1104920446 | Select Dental PC | Dentist | 16128 15 Mile Road, Suite 4, Fraser, MI 48026 | 2006-09-08 |
| Find all providers in zip 48026 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366057929 | Dr. Leigh Ellen Snyder Dds | Dentist | 16869 E 14 Mile Rd, Fraser, MI 48026-2239 | 2020-09-10 |
| 1710035944 | Sabri K Akash | Dentist | 15275 E 13 Mile Rd, Fraser, MI 48026-2700 | 2007-01-05 |
| 1962578674 | David Henry Luehmann | Dentist | 32245 Utica Rd, Fraser, MI 48026 | 2006-11-27 |
| 1780753467 | Leigh Ellen Snyder | Dentist | 16869 Fourteen Mile Rd, Fraser, MI 48026 | 2006-11-07 |
| 1942379631 | Bernadette Olameitan Osowa | Dentist | 16869 Fourteen Mile Road, Fraser, MI 48026 | 2006-11-07 |
| 1194775908 | Eric Romano | Dentist | 16638 15 Mile Rd, Fraser, MI 48026-3713 | 2006-05-11 |
| 1417917584 | Keith David Nowicki | Dentist | 32545 Garfield Rd, Fraser, MI 48026-3843 | 2006-03-24 |
| 1033116207 | John A. Breza | Dentist | 15290 E 14 Mile Rd, Fraser, MI 48026-2029 | 2005-07-04 |
| 1053802660 | Abdullah Mahmud Mahmud | Dentist | 33080 Garfield Rd, Fraser, MI 48026-1867 | 2018-05-21 |
| 1245754415 | Davinder Mudan | Dentist | 33080 Garfield Rd, Fraser, MI 48026-1867 | 2017-07-31 |
| Find all providers in FRASER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.