Individual
ALAN GREGORY MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 W BAY PLZ, PLATTSBURGH, NY 12901-1785
(518) 563-8222
(518) 562-8049
Mailing address
3678 ROUTE 9 LAKESHORE, PERU, NY 12972-5046
(518) 563-4144
(518) 562-8049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032995
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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