David Matthew Mikulencak in Fort Worth - Orthodontics And Dentofacial Orthopedics
David Matthew Mikulencak - NPI 1548453335
David Matthew Mikulencak is a Orthodontics And Dentofacial Orthopedics in Fort Worth, Texas. David Matthew Mikulencak practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for David Matthew Mikulencak is 1548453335. The last update date is 2008-04-07.
David Matthew Mikulencak's current location address is 4544 Hartwood Dr, Fort Worth, Texas. You can contact this provider via phone number 8179235400. The mailing address for David Matthew Mikulencak is 4544 Hartwood Dr, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Matthew Mikulencak |
|---|---|
| Address | 4544 Hartwood Dr, Fort Worth, Texas |
| Phone Number | 8179235400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1548453335 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2008-04-07 |
Provider Mailing Address Detail
| Address | 4544 Hartwood Dr |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761091840 |
| Phone Number | 8179235400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 20876 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique identifier code issued to David Matthew Mikulencak by the Centers for Medicare & Medicaid Services (CMS)?
The David Matthew Mikulencak has been assigned the NPI (National Provider Identifier) 1548453335. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where David Matthew Mikulencak is geographically located?
The David Matthew Mikulencak is physically situated at the following location: 4544 Hartwood Dr, Fort Worth, TX, 761091840.
What is David Matthew Mikulencak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Matthew Mikulencak is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did David Matthew Mikulencak receive its 1548453335 assignment from the Centers for Medicare & Medicaid Services?
The David Matthew Mikulencak was assigned its 1548453335 on 2007-08-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding David Matthew Mikulencak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Matthew Mikulencak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-07.