MEDICARE: DR. MICHAEL ANDREW MCGREGOR DMD

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
1	122300000X	Dentist	DEN.00205558	CO

General Provider Information

NPI Number	:	1174217699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL ANDREW MCGREGOR DMD

Provider Business Mailing Address
First Line	:	881 FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3212
Country	:	US
Telephone Number	:	303-825-0013
Fax Number	:

Provider Business Practice Location Address
First Line	:	881 FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-3212
Country	:	US
Telephone Number	:	303-825-0013
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	06/07/2023

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