IndividualActive
Brian Michalkow, DDS
NPI 1639351497 · Orthodontics and Dentofacial Orthopedics Dentistry · Fenton, MI
Provider details
- NPI number
- 1639351497
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- L977343 (MI)
Specialties & taxonomies
Dental Providers
Practice location
2420 Owen Rd
Suite E
Fenton, MI 48430-3417
Phone: (810) 629-0470
Fax: (810) 629-7999
Approximate (ZIP-level) locationGet directions
Mailing address
2420 Owen Rd
Fenton, MI 48430-3417
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2011-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.