C James Mikelson in Waterloo - General Practice
C James Mikelson - NPI 1831101427
C James Mikelson is a General Practice in Waterloo, Iowa. C James Mikelson practices all healthcare services and medical treatments related to General Practice. The NPI Number for C James Mikelson is 1831101427. The last update date is 2007-07-08.
C James Mikelson's current location address is 3308 Kimball Ave, Waterloo, Iowa. You can contact this provider via phone number 3192336177 and fax number 3192343906. The mailing address for C James Mikelson is 3308 Kimball Ave, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C James Mikelson |
|---|---|
| Address | 3308 Kimball Ave, Waterloo, Iowa |
| Phone Number | 3192336177 |
| Fax Number | 3192343906 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1831101427 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3308 Kimball Ave |
|---|---|
| City | Waterloo |
| State | Iowa (IA) |
| Post Code | 50702 |
| Phone Number | 3192336177 |
| Fax Number | 3192343906 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5851 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120865 | IA | -- |
Post Comment/ Review Below
What is the C James Mikelson's 1831101427?
The C James Mikelson's NPI (National Provider Identifier) Number is 1831101427. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where C James Mikelson is physically located?
The C James Mikelson is physically situated at the following address: 3308 Kimball Ave, Waterloo, IA, 50702.
What is C James Mikelson's specialized field of practice, and what is the corresponding taxonomy classification code?
The C James Mikelson's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the C James Mikelson receive the assignment of its 1831101427 from the Centers for Medicare & Medicaid Services?
The C James Mikelson was issued its 1831101427 by the Centers for Medicare & Medicaid Services on 2006-08-12.
As of what date was the information pertaining to C James Mikelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to C James Mikelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.