Healthcare Provider Details

I. General information

NPI: 1861521692
Provider Name (Legal Business Name): MICHAEL L FRENCH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 W TENNYSON RD
HAYWARD CA
94544-5236
US

IV. Provider business mailing address

800 MORNING STAR DR
SONORA CA
95370-9260
US

V. Phone/Fax

Practice location:
  • Phone: 510-780-9119
  • Fax: 510-780-9211
Mailing address:
  • Phone: 209-588-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number49098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: