Provider Demographics
NPI:1215957956
Name:VARLEY, MICHAEL (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:VARLEY
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S. WESTMONTE DRIVE
Mailing Address - Street 2:SUITE 2070
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714
Mailing Address - Country:US
Mailing Address - Phone:407-628-6474
Mailing Address - Fax:407-682-0901
Practice Address - Street 1:225 S. WESTMONTE DRIVE
Practice Address - Street 2:SUITE 2070
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:407-628-6474
Practice Address - Fax:407-682-0901
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 140981223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics