Joseph Baisden Mickler in Raleigh - General Practice

Joseph Baisden Mickler - NPI 1942422654

Joseph Baisden Mickler is a General Practice in Raleigh, North Carolina. Joseph Baisden Mickler practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joseph Baisden Mickler is 1942422654. The last update date is 2007-07-08.

Joseph Baisden Mickler's current location address is 4814 Six Forks Rd, Raleigh, North Carolina. You can contact this provider via phone number 9197835550 and fax number 9197911990. The mailing address for Joseph Baisden Mickler is 4814 Six Forks Rd, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Joseph Baisden Mickler
Address 4814 Six Forks Rd, Raleigh, North Carolina
Phone Number 9197835550
Fax Number 9197911990
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1942422654
Provider Enumeration Date 2007-05-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4814 Six Forks Rd
City Raleigh
State North Carolina (NC)
Post Code 276095246
Phone Number 9197835550
Fax Number 9197911990

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3378
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
8995944 NC --

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FAQs about Joseph Baisden Mickler

What is the Joseph Baisden Mickler's unique identification number?

The Joseph Baisden Mickler has been assigned the NPI (National Provider Identifier) Number 1942422654 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Joseph Baisden Mickler is physically located?

The Joseph Baisden Mickler is situated at the following address: 4814 Six Forks Rd, Raleigh, NC 276095246.

What is the Joseph Baisden Mickler's specialty and taxonomy code?

The Joseph Baisden Mickler's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1942422654 to Joseph Baisden Mickler?

The Joseph Baisden Mickler received its 1942422654 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.

As of what date were the details pertaining to Joseph Baisden Mickler last refreshed?

The information related to the Joseph Baisden Mickler, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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