Provider Demographics
NPI:1043055890
Name:MICHEL, ASHLEY RENEE (DDS)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENEE
Last Name:MICHEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7773
Mailing Address - Country:US
Mailing Address - Phone:785-577-2874
Mailing Address - Fax:
Practice Address - Street 1:888 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7420
Practice Address - Country:US
Practice Address - Phone:785-823-9106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS62163122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist