Jess W Mikesell is a Dentist in Centralia, Illinois. Jess W Mikesell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jess W Mikesell is 1841311024. The last update date is 2007-07-08.
Jess W Mikesell's current location address is 1024 Jonas Ave, Centralia, Illinois. You can contact this provider via phone number 6185332107. The mailing address for Jess W Mikesell is 1024 Jonas Ave, Centralia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jess W Mikesell |
|---|---|
| Address | 1024 Jonas Ave, Centralia, Illinois |
| Phone Number | 6185332107 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1841311024 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1024 Jonas Ave |
|---|---|
| City | Centralia |
| State | Illinois (IL) |
| Post Code | 62801 |
| Phone Number | 6185332107 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14683 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to Jess W Mikesell by the Centers for Medicare & Medicaid Services?
The Jess W Mikesell has been assigned the NPI (National Provider Identifier) 1841311024. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jess W Mikesell is physically located?
The Jess W Mikesell is physically situated at the following address: 1024 Jonas Ave, Centralia, IL, 62801.
What is Jess W Mikesell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jess W Mikesell is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
When was the Jess W Mikesell's 1841311024 issued?
The Jess W Mikesell's 1841311024 was issued on 2007-04-03.
As of what date were the details related to Jess W Mikesell most recently updated or revised?
The information pertaining to Jess W Mikesell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.