Provider Demographics
NPI:1447662457
Name:TOWLER, MICHAEL PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:TOWLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 E MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2157
Mailing Address - Country:US
Mailing Address - Phone:517-265-7411
Mailing Address - Fax:517-263-1050
Practice Address - Street 1:133 E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-2157
Practice Address - Country:US
Practice Address - Phone:517-265-7411
Practice Address - Fax:517-263-1050
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021234122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist