Individual
DR. MICHAEL RICHARD HIGGINBOTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
113 N WASHINGTON ST, OXFORD, MI 48371-4670
(248) 969-9500
(248) 969-9509
Mailing address
113 N WASHINGTON ST, OXFORD, MI 48371-4670
(248) 969-9500
(248) 969-9509
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019840
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901019840
MI
208600000X
Surgery Physician
4301101198
MI
Other
Enumeration date
07/12/2012
Last updated
12/11/2020
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