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NPI Code Detail

MEDICARE: DR. PAUL MICHAEL FLYNN DDS

MEDICARE: DR. PAUL MICHAEL FLYNN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223S0112XOral and Maxillofacial Surgery (Dentist)2901011737MI

General Provider Information

NPI Number : 1043234404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL MICHAEL FLYNN DDS
Provider Business Mailing Address
First Line : 4124 W ST JOE HWY
Second Line :
City : LANSING
State : MI
Zip : 48917-5205
Country : US
Telephone Number : 517-321-3236
Fax Number : 517-321-8171
Provider Business Practice Location Address
First Line : 4124 W ST JOE HWY
Second Line :
City : LANSING
State : MI
Zip : 48917-5205
Country : US
Telephone Number : 517-321-3236
Fax Number : 517-321-8171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL MICHAEL FLYNN DDS” Practice Location

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