Provider Demographics
NPI:1871692459
Name:DOYLE, MICHAEL T (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4582 KINGWOOD DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77345
Mailing Address - Country:US
Mailing Address - Phone:281-361-7711
Mailing Address - Fax:281-361-7547
Practice Address - Street 1:4582 KINGWOOD DR
Practice Address - Street 2:SUITE F
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77345
Practice Address - Country:US
Practice Address - Phone:281-361-7711
Practice Address - Fax:281-361-7547
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11892122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist