Individual
MICHAEL HOUSTON WASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10250 N 92ND ST STE 301, SCOTTSDALE, AZ 85258-4520
(480) 896-0600
Mailing address
10250 N 92ND ST STE 301, SCOTTSDALE, AZ 85258-4520
(480) 896-0600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
24806
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011165
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DE6048933
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DR60213519
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2009
Last updated
06/18/2024
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