Individual
DR. MICHAEL DEAN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12001 SOUTH FREEWAY, SUITE 207, BURLESON, TX 76028
(817) 568-6811
(817) 568-6813
Mailing address
12001 SOUTH FREEWAY, SUITE 207, BURLESON, TX 76028
(817) 568-6811
(817) 568-6813
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
14389
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14389
TEXAS STATE BOARD OF DENT
TX
Enumeration date
09/24/2006
Last updated
05/01/2009
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