Dr. Michael Thomas Depascale
Orthodontists
117 Cow Hill Rd
Mystic
, Connecticut 06355-1449
Dr. Michael Thomas Depascale
Orthodontists
117 Cow Hill Rd
Mystic
, Connecticut 06355-1449
(201) 906-5458
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Michael Thomas Depascale
- 1231 Van Buren Dr
- Annapolis, MD
- Zip : 21403-2132
- Phone : (201) 906-5458
Second Address
- Dr. Michael Thomas Depascale
- 117 Cow Hill Rd
- Mystic, CT
- Zip : 06355-1449
- Phone : (860) 536-9661
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 11807 | CT |
National Provider Identifier
| NPI | 1043747116 |
|---|---|
| Provider Name | Dr. Michael Thomas Depascale |
| First Address | Annapolis, MD 21403-2132 |
| Second Address | Mystic, CT 06355-1449 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2017 |
| Last Update Date | 19/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.