Individual
DR. MICHAEL BRENT MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D
Contact information
Practice address
118 W 8TH ST, LONDON, KY 40741-1714
(606) 877-1900
(606) 877-1755
Mailing address
118 W 8TH ST, LONDON, KY 40741-1714
(606) 877-1900
(606) 877-1755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60006566
—
KY
Enumeration date
02/20/2007
Last updated
07/08/2007
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