Individual
DR. MICHAEL S DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A D.D.S M.S
Contact information
Practice address
1001 MEDICAL PLAZA DR, STE 110, THE WOODLANDS, TX 77380-3241
(281) 363-2009
Mailing address
1001 MEDICAL PLAZA DR, STE 110, THE WOODLANDS, TX 77380-3241
(281) 363-2009
(281) 367-5622
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D11072
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118721
UNITED CONCORDIA
TX
01
—
81D741
BLUECROSSBLUESHIELD
TX
Enumeration date
09/06/2006
Last updated
07/08/2007
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