Healthcare Provider Details

I. General information

NPI: 1033609888
Provider Name (Legal Business Name): MICHAEL STEVEN SESI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8091 COMMERCE RD
COMMERCE TWP MI
48382-3575
US

IV. Provider business mailing address

7327 FINNEGAN DR
WEST BLOOMFIELD MI
48322-3557
US

V. Phone/Fax

Practice location:
  • Phone: 248-242-6600
  • Fax:
Mailing address:
  • Phone: 248-910-1482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901022565
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: