Doctor Name: | DR. MICHAEL D BROOKS |
NPI Number: | 1083691273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.M.D., M.S. |
License Number: | DE00011225 |
Business Practice Address: | 19365 7th Ave Ne Ste 114 Poulsbo, WA - 983707441 |
Business Phone Number: | 3607797414 |
Business Fax Number: | 3607797732 |
Mailing Address: | 19365 7th Ave Ne Ste 114, POULSBO |
State: | WA |
Postal Code: | 983707441 |
Phone Number: | 3607797414 |
Fax Number: | 3607797732 |
NPI Enumeration Date: | 12/28/2005 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | DE00011225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |