# MICHAEL L. GAGE, D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669626495
- **Authorized official:** MICHAEL L GAGE D.D.S. (OWENER)
- **Authorized official phone:** (253) 759-5414

## Contact information

- **Practice address:** 2520 N ALDER ST, TACOMA, WA 98406-6632
- **Practice address phone:** (253) 759-5414
- **Practice address fax:** (253) 756-6860
- **Mailing address:** 2520 N ALDER ST, TACOMA, WA 98406-6632
- **Mailing address phone:** (253) 759-5414
- **Mailing address fax:** (253) 756-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4344 | WA | Yes |

## Other

- **Enumeration date:** 11/06/2008
- **Last updated:** 11/06/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1912907064 | NPI TYPE I | WA |