Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thomas R Michaelis, DDSMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1518029115

Dr. Thomas R Michaelis, DDSMD is an Oral and Maxillofacial Surgery (Dentist) in Costa Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

1801 Newport Blvd Ste C
Costa Mesa, CA 92627
Phone: (949) 650-1030
Fax: (949) 722-2481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 42745 (CA)

Record details

NPI number1518029115
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1401 Avocado Avenue, Suite 50g, Newport Beach, CA 92660

Other providers in Costa Mesa