Individual
DR. MICHAEL WILLIAM CEBULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1090 N MARKET ST, TROY, OH 45373-1434
(937) 339-5855
Mailing address
1090 N MARKET ST, TROY, OH 45373-1434
(937) 339-5855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30026147
OH
1223G0001X
General Practice Dentistry
Primary
30026147
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2020
Last updated
07/02/2025
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