Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICA MATHISON, DMD
ActiveMICA MATHISON, DMD is a General Dentistry healthcare provider located in KODAK, Tennessee. NPI 1891233722 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · KODAK, TN
Registration Details
- NPI Number
- 1891233722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 11, 2017 (9.4939158467168 yrs)
- Last Updated
- Oct 26, 2020
- Licenses
-
DN015719 (GA)DS0000010581 (TN)
Practice Information
- Address
-
2946 WINFIELD DUNN PKWYKODAK, TN, 377644306Browse TN providers · Browse ZIP 37764
- Phone
- 8654657058
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in KODAK, TN
| Name | Credential | NPI |
|---|---|---|
| NOELAN SCHAFER | — | 1245779701 |
| DR. JOSEPH ROBERTO | DDS | 1538851332 |
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.