David John Mikulencak in Temple - Periodontics
David John Mikulencak - NPI 1487661252
David John Mikulencak is a Periodontics in Temple, Texas. David John Mikulencak practices all healthcare services and medical treatments related to Periodontics. The NPI Number for David John Mikulencak is 1487661252. The last update date is 2007-07-08.
David John Mikulencak's current location address is 1615 Forest Trl, Temple, Texas. You can contact this provider via phone number 2547786440 and fax number 2547786499. The mailing address for David John Mikulencak is 1615 Forest Trl, Temple, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David John Mikulencak |
|---|---|
| Address | 1615 Forest Trl, Temple, Texas |
| Phone Number | 2547786440 |
| Fax Number | 2547786499 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1487661252 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1615 Forest Trl |
|---|---|
| City | Temple |
| State | Texas (TX) |
| Post Code | 765022715 |
| Phone Number | 2547786440 |
| Fax Number | 2547786499 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 10727 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identification code assigned to David John Mikulencak by the Centers for Medicare & Medicaid Services?
The David John Mikulencak has been issued the NPI (National Provider Identifier) 1487661252. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David John Mikulencak is physically located?
The David John Mikulencak is physically situated at the following address: 1615 Forest Trl, Temple, TX, 765022715.
What is David John Mikulencak'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 David John Mikulencak is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
When was the David John Mikulencak's 1487661252 issued?
The David John Mikulencak's 1487661252 was issued on 2006-08-02.
When was the information regarding David John Mikulencak most recently updated?
The details pertaining to the David John Mikulencak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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