Individual
MICHAEL MEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6321 18TH AVE, BROOKLYN, NY 11204-2941
(209) 551-1900
Mailing address
3505 PARKCREST DR, MODESTO, CA 95355-8611
(209) 551-1990
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
064926
NY
Other
Enumeration date
04/24/2023
Last updated
09/07/2025
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