Individual
MICHAEL JAY STARBODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
122 HERITAGE PARK DR STE 300, MURFREESBORO, TN 37129-0563
(217) 556-5187
Mailing address
206 STATE ST APT F, ALTON, IL 62002-6181
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10826
TN
1223G0001X
General Practice Dentistry
2017027434
MO
Other
Enumeration date
08/03/2017
Last updated
03/15/2022
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