Healthcare Provider Details

I. General information

NPI: 1427035807
Provider Name (Legal Business Name): MICHAEL L. HUTCHINGS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1817 TODDS LN
HAMPTON VA
23666-3124
US

IV. Provider business mailing address

PO BOX 65412
HAMPTON VA
23665-5412
US

V. Phone/Fax

Practice location:
  • Phone: 757-827-7770
  • Fax:
Mailing address:
  • Phone: 757-927-0672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDJ 29156
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401411160
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: