| Organization Name: | MICHAEL D. DAIGLE DDS APC |
| NPI Number: | 1932414851 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL DELANO DAIGLE (OWNER) |
| Mailing Address: | 100 Melissa Ln Houma |
| State: | LA US |
| Postal Code: | 703604058 |
| Phone Number: | 9858688464 |
| Fax Number: | 9858680333 |
| NPI Enumeration Date: | 08/16/2010 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |