DR. MICHAEL THOMAS PRUDHOMME D.D.S.
NPI 1275584732
Dentist - General Practice in Clarkston, MI

Q: What is Michael Prudhomme's NPI number?

The NPI number for Michael Prudhomme is 1275584732. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Q: What is Michael Prudhomme's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Prudhomme was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 12, 2006

5760 CLARKSTON RD., SUITE A, CLARKSTON, MI 48348(248) 625-9001(248) 625-8729 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael Thomas Prudhomme D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL THOMAS PRUDHOMME D.D.S. (NPI 1275584732) is an individual general practice provider in Clarkston, Michigan, licensed in Michigan (11854) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1275584732

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MICHAEL THOMAS PRUDHOMMECredential: D.D.S.

Location Address5760 CLARKSTON RD., SUITE AClarkston, MI 48348-4706

Mailing Address5760 Clarkston Rd., Suite AClarkston, MI 48348-4706 · (248) 625-9001 · Fax (248) 625-8729

Phone(248) 625-9001

Fax(248) 625-8729

Sole ProprietorYes

Enumeration DateMay 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275584732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 11854

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5760 CLARKSTON RD., Clarkston, MI 48348

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Prudhomme's NPI number?

The NPI number for Michael Prudhomme is 1275584732. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Michael Prudhomme located?

Michael Prudhomme practices at 5760 Clarkston Rd. Suite A, Clarkston, MI 48348. The listed phone number is (248) 625-9001.

What is Michael Prudhomme's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Prudhomme was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.