NPI
Michael John Booth
NPI 1063490118
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- dds
- Type
- Individual
- Enumeration date
- 2006-01-08
- Last updated
- 2016-08-10
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Specialties
Licenses
- License MI
- 13125
Location
- Practice location
- 32560 Utica Rd
- City
- Fraser MI
- Postal code
- 48026-2215
- Phone
- (586) 293-8530
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fraser, MI. 267 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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