Individual
DR. MICHAEL J COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4211 MUNDY MILL PL, SUITE A, OAKWOOD, GA 30566-2530
(770) 535-8160
(770) 287-0941
Mailing address
PO BOX 969, OAKWOOD, GA 30566-0017
(770) 535-8160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN007538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119070329A
—
GA
Enumeration date
02/07/2007
Last updated
12/30/2016
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