Samuel J. Mitschke, DDS

General Practice Dentistry · Lake Jackson, TX

Individual Active NPI

NPI number 1154475226

Practice location

201 Oak Dr S
Suite 206
Lake Jackson, TX 77566-5676
Phone
(979) 297-2491
Fax
(979) 297-3468

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NPI record

NPI
1154475226
Entity type
Individual (Type 1)
Enumeration date
January 23, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21826 TX

About Dr. Mitschke

Samuel J. Mitschke, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 201 Oak Dr S, Suite 206, Lake Jackson, TX 77566-5676. The NPI number 1154475226 was assigned on January 23, 2007 and the record was last updated on July 8, 2007.

Dr. Mitschke lists a license in the registry: #21826 (TX) 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 Samuel J. Mitschke, DDS?

The NPI number is 1154475226.

What is the phone number of Dr. Mitschke?

The phone number listed for the practice location is (979) 297-2491.

Where is Dr. Mitschke located?

201 Oak Dr S, Suite 206, Lake Jackson, TX 77566-5676.

What is the taxonomy code for Dr. Mitschke?

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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