Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL DALE EICKMAN, DDS
Active Sole ProprietorDR. MICHAEL DALE EICKMAN, DDS is a Dentist healthcare provider located in THIEF RIVER FALLS, Minnesota. NPI 1639463706 is currently active in the NPPES registry. Verify at CMS.
Dentist · THIEF RIVER FALLS, MN
Registration Details
- NPI Number
- 1639463706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2011 (15.195248590351 yrs)
- Last Updated
- Jun 6, 2011
- Licenses
-
D12920 (MN)D12920 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 RED LAKE BLVDTHIEF RIVER FALLS, MN, 567012133Browse MN providers · Browse ZIP 56701
- Phone
- 2186812545
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in THIEF RIVER FALLS, MN
| Name | Credential | NPI |
|---|---|---|
| COLE DANIEL JOHNSON | DDS | 1588406599 |
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.