Provider Demographics
NPI:1124455910
Name:MICHAEL E. DOYLE, DDS PC
Entity type:Organization
Organization Name:MICHAEL E. DOYLE, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-774-4401
Mailing Address - Street 1:1436 WINFIELD DUNN PKWY
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-1581
Mailing Address - Country:US
Mailing Address - Phone:865-774-4401
Mailing Address - Fax:865-774-4322
Practice Address - Street 1:1436 WINFIELD DUNN PKWY
Practice Address - Street 2:SUITE 2
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-1581
Practice Address - Country:US
Practice Address - Phone:865-774-4401
Practice Address - Fax:865-774-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS000003195122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty