Mike Douglas Mysinger in Knoxville - Pediatric Dentistry

Mike Douglas Mysinger - NPI 1366430597

Mike Douglas Mysinger is a Pediatric Dentistry in Knoxville, Tennessee. Mike Douglas Mysinger practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Mike Douglas Mysinger is 1366430597. The last update date is 2017-03-23.

Mike Douglas Mysinger's current location address is 120 Capital Dr, Knoxville, Tennessee. You can contact this provider via phone number 8656937070 and fax number 8656937317. The mailing address for Mike Douglas Mysinger is 120 Capital Dr, Knoxville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Mike Douglas Mysinger
Address 120 Capital Dr, Knoxville, Tennessee
Phone Number 8656937070
Fax Number 8656937317
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1366430597
Provider Enumeration Date 2005-10-12
Last Updated Date 2017-03-23

Provider Mailing Address Detail

Address 120 Capital Dr
City Knoxville
State Tennessee (TN)
Post Code 379223478
Phone Number 8656937070
Fax Number 8656937317

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 6841
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about Mike Douglas Mysinger

What is the unique identifier code issued to Mike Douglas Mysinger by the Centers for Medicare & Medicaid Services (CMS)?

The Mike Douglas Mysinger has been assigned the NPI (National Provider Identifier) 1366430597. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Mike Douglas Mysinger is physically located?

The Mike Douglas Mysinger is situated at the following address: 120 Capital Dr, Knoxville, TN 379223478.

What is Mike Douglas Mysinger's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mike Douglas Mysinger is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1366430597 to Mike Douglas Mysinger?

The Centers for Medicare & Medicaid Services assigned the 1366430597 to Mike Douglas Mysinger on 2005-10-12.

As of what date were the Mike Douglas Mysinger's details last updated?

The information pertaining to the Mike Douglas Mysinger, including its address, specialty, and other details, was most recently updated on 2017-03-23.

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