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General NPI Number Information
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NPI Number | 1962352013
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Entity Type | Organization
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Legal Business Name | MICHAEL L CHILDERS DDS PLLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 3633 CORTEZ RD W
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City | BRADENTON
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State | FL
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Zip | 34210-3119
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Country | US
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Telephone | 941-238-9808
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Fax | 941-238-9922
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Provider Business Mailing Address
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Address Line | 2108 87TH ST NW
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City | BRADENTON
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State | FL
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Zip | 34209-9743
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Country | US
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Telephone | 941-809-8425
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MICHAEL LLOYD CHILDERS SR.
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Credential | DDS
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Telephone | 941-238-9808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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