David John Mikulencak, D.D.S.

Periodontics · Temple, TX

Individual Active NPI

NPI number 1487661252

Practice location

1615 Forest Trl
Temple, TX 76502-2715
Phone
(254) 778-6440
Fax
(254) 778-6499

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NPI record

NPI
1487661252
Entity type
Individual (Type 1)
Enumeration date
August 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 10727 TX

About Dr. Mikulencak

David John Mikulencak, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 1615 Forest Trl, Temple, TX 76502-2715. The NPI number 1487661252 was assigned on August 2, 2006 and the record was last updated on July 8, 2007.

Dr. Mikulencak lists a license in the registry: #10727 (TX) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David John Mikulencak, D.D.S.?

The NPI number is 1487661252.

What is the phone number of Dr. Mikulencak?

The phone number listed for the practice location is (254) 778-6440.

Where is Dr. Mikulencak located?

1615 Forest Trl, Temple, TX 76502-2715.

What is the taxonomy code for Dr. Mikulencak?

The primary taxonomy code is 1223P0300X – Periodontics.

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.