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Individual
DR. MICHAEL P SEROW
Active
Individual
DR. MICHAEL P SEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
4124
CT
1223G0001X
General Practice Dentistry
Primary
4124
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004124CT01
ANTHEM BLUE CROSS
—
01
—
458860
UNITED CONCORDIA
—
01
—
52411
DENTAL BENEFITS PROVIDERS
—
01
—
8611
DELTA DENTAL
—
Enumeration date
11/02/2006
Last updated
09/11/2025
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