Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. J RYAN MICKELSON, D.D.S.
Active Sole ProprietorGeneral Dentistry · DURANGO, CO
Registration Details
- NPI Number
- 1346351624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.672530914442 yrs)
- Last Updated
- Feb 15, 2024
- Licenses
-
8630 (CO)D-4547 (ID)DD3644 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2530 COLORADO AVESUITE 1ADURANGO, CO, 813014760Browse CO providers · Browse ZIP 81301
- Phone
- 9702470174
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in DURANGO, CO
| Name | Credential | NPI |
|---|---|---|
| JEFF S NELSON | DDS | 1043277445 |
| MARK F UGAI | D.D.S. | 1003841586 |
| DR. JOHN CRAWFORD HENING | D.D.S. | 1629096185 |
| JAMES C. EICH | D.M.D. | 1902907330 |
| DR. JON GREGORY MANN | DDS | 1073608956 |
| ZACHERY K GREEN | D.D.S. | 1003953316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.