Individual
DR. MICHAEL L COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3915 S CEDAR CREST CIR, #804, INDEPENDENCE, MO 64055-5492
(816) 810-1870
Mailing address
3915 S CEDAR CREST CIR, #804, INDEPENDENCE, MO 64055-5492
(816) 810-1870
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13094
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1631
—
MO
Enumeration date
08/15/2005
Last updated
02/23/2010
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