Provider Demographics
NPI:1124478169
Name:MICHAEL P TOWLER DDS PC
Entity type:Organization
Organization Name:MICHAEL P TOWLER DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:TOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-265-7411
Mailing Address - Street 1:133 E MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2157
Mailing Address - Country:US
Mailing Address - Phone:517-265-7411
Mailing Address - Fax:517-263-1050
Practice Address - Street 1:133 E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2157
Practice Address - Country:US
Practice Address - Phone:517-265-7411
Practice Address - Fax:517-263-1050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-21
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010212341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty