Samuel J Mitschke in Lake Jackson - General Practice

Samuel J Mitschke - NPI 1154475226

Samuel J Mitschke is a General Practice in Lake Jackson, Texas. Samuel J Mitschke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Samuel J Mitschke is 1154475226. The last update date is 2007-07-08.

Samuel J Mitschke's current location address is 201 Oak Dr S, Lake Jackson, Texas. You can contact this provider via phone number 9792972491 and fax number 9792973468. The mailing address for Samuel J Mitschke is 201 Oak Dr S, Lake Jackson, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel J Mitschke
Address 201 Oak Dr S, Lake Jackson, Texas
Phone Number 9792972491
Fax Number 9792973468
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1154475226
Provider Enumeration Date 2007-01-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 201 Oak Dr S
City Lake Jackson
State Texas (TX)
Post Code 775665676
Phone Number 9792972491
Fax Number 9792973468

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 21826
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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FAQs about Samuel J Mitschke

What is the unique 10-digit identification code assigned to Samuel J Mitschke by the Centers for Medicare & Medicaid Services?

The Samuel J Mitschke has been issued the NPI (National Provider Identifier) 1154475226, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Samuel J Mitschke is located?

The Samuel J Mitschke is situated at the following address: 201 Oak Dr S, Lake Jackson, TX, 775665676.

What is Samuel J Mitschke's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel J Mitschke'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 Samuel J Mitschke receive the assignment of its 1154475226 from the Centers for Medicare & Medicaid Services?

The Samuel J Mitschke was issued its 1154475226 by the Centers for Medicare & Medicaid Services on 2007-01-23.

When was the information related to Samuel J Mitschke most recently updated or refreshed?

The details pertaining to the Samuel J Mitschke, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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