Individual
DR. SCOTT MICHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
122 PROFESSIONAL VIEW DR, FREEHOLD, NJ 07728-7902
(732) 625-8080
Mailing address
122 PROFESSIONAL VIEW DR, FREEHOLD, NJ 07728-7902
(732) 625-8080
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02604000
NJ
Other
Enumeration date
01/08/2014
Last updated
09/08/2015
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