C James Mikelson, DDS

General Practice Dentistry · Waterloo, IA

Individual Active NPI

NPI number 1831101427

Practice location

3308 Kimball Ave
Waterloo, IA 50702
Phone
(319) 233-6177
Fax
(319) 234-3906

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NPI record

NPI
1831101427
Entity type
Individual (Type 1)
Enumeration date
August 12, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 05851 IA

About Dr. Mikelson

C James Mikelson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3308 Kimball Ave, Waterloo, IA 50702. The NPI number 1831101427 was assigned on August 12, 2006 and the record was last updated on July 8, 2007.

Dr. Mikelson lists a license in the registry: #05851 (IA) 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 C James Mikelson, DDS?

The NPI number is 1831101427.

What is the phone number of Dr. Mikelson?

The phone number listed for the practice location is (319) 233-6177.

Where is Dr. Mikelson located?

3308 Kimball Ave, Waterloo, IA 50702.

What is the taxonomy code for Dr. Mikelson?

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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