Mitchell Lee Tschakert, DDS

General Practice Dentistry · Superior, WI

Individual Active NPI

NPI number 1104682772

Practice location

2222 E 5TH St
Superior, WI 54880-3709
Phone
(715) 394-5411
Fax
(715) 392-5086

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NPI record

NPI
1104682772
Entity type
Individual (Type 1)
Enumeration date
February 22, 2024
Last updated
June 6, 2024
Certified
June 6, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6001547 WI

Other practice locations (2)

  • 4325 Grand Ave, Duluth, MN 55807-2730 · (218) 628-7035
  • 210 3rd St, Carlton, MN 55718-7703 · (218) 336-3524

About Dr. Tschakert

Mitchell Lee Tschakert, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2222 E 5TH St, Superior, WI 54880-3709. The NPI number 1104682772 was assigned on February 22, 2024 and the record was last updated on June 6, 2024.

Dr. Tschakert lists a license in the registry: #6001547 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitchell Lee Tschakert, DDS?

The NPI number is 1104682772.

What is the phone number of Dr. Tschakert?

The phone number listed for the practice location is (715) 394-5411.

Where is Dr. Tschakert located?

2222 E 5TH St, Superior, WI 54880-3709.

What is the taxonomy code for Dr. Tschakert?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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