Michelle Lynne Mistele in Irmo - General Practice

Michelle Lynne Mistele - NPI 1043350507

Michelle Lynne Mistele is a General Practice in Irmo, South Carolina. Michelle Lynne Mistele practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michelle Lynne Mistele is 1043350507. The last update date is 2007-07-09.

Michelle Lynne Mistele's current location address is 3533 Dreher Shoals Rd, Irmo, South Carolina. You can contact this provider via phone number 8037323001 and fax number 8037323190. The mailing address for Michelle Lynne Mistele is 3533 Dreher Shoals Rd, Irmo, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Lynne Mistele
Address 3533 Dreher Shoals Rd, Irmo, South Carolina
Phone Number 8037323001
Fax Number 8037323190
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1043350507
Provider Enumeration Date 2007-02-07
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 3533 Dreher Shoals Rd
City Irmo
State South Carolina (SC)
Post Code 290639115
Phone Number 8037323001
Fax Number 8037323190

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3337
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZA9727 SC --

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FAQs about Michelle Lynne Mistele

What is the Michelle Lynne Mistele's 1043350507?

The Michelle Lynne Mistele's NPI (National Provider Identifier) Number is 1043350507. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Michelle Lynne Mistele is geographically located?

The Michelle Lynne Mistele is physically situated at the following location: 3533 Dreher Shoals Rd, Irmo, SC, 290639115.

What is the Michelle Lynne Mistele's specialty and taxonomy code?

The Michelle Lynne Mistele's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1043350507 to Michelle Lynne Mistele?

The Centers for Medicare & Medicaid Services originally issued the 1043350507 to Michelle Lynne Mistele on 2007-02-07.

When was the information regarding Michelle Lynne Mistele most recently updated?

The details pertaining to the Michelle Lynne Mistele, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.

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