Individual
MICHAEL JOSEPH DEADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1630 POPLAR ST, TERRE HAUTE, IN 47807
(812) 232-2108
(812) 232-2426
Mailing address
1630 POPLAR ST, TERRE HAUTE, IN 47807
(812) 232-2108
(812) 232-2426
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12006188
IN
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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