Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE A MICKELSON, DDS
ActiveDR. BRUCE A MICKELSON, DDS is a Dentist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1760555692 is currently active in the NPPES registry. Verify at CMS.
Dentist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1760555692
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.596402250527 yrs)
- Last Updated
- Jul 8, 2007
- License
-
11496 (MI)
Practice Information
- Address
-
976 3 MILE RD NWGRAND RAPIDS, MI, 49544Browse MI providers · Browse ZIP 49544
- Phone
- 6167844038
- Fax
- 6167859501
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES B BRENNAN | D.D.S. | 1619970522 |
| DR. MICHAEL VINCENT MEHLING | D.D.S. | 1184618423 |
| DR. KENNETH E FRIESWYK | DDS | 1821078056 |
| DR. KATHI ANN WILSON | DDS | 1144291477 |
| C PHILIP DOEZEMA | DDS | 1902877988 |
| PETER ALAN GARCHOW | DDS | 1659331452 |
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.