Mica Mathison, DMD
General Practice Dentistry · Kodak, TN
Practice location
2946 Winfield Dunn PkwyKodak, TN 37764-4306
- Phone
- (865) 465-7058
NPI record
- NPI
- 1891233722
- Entity type
- Individual (Type 1)
- Enumeration date
- February 11, 2017
- Last updated
- October 26, 2020
- Certified
- October 26, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DS0000010581 | TN |
| General Practice Dentistry | 1223G0001X |
DN015719 | GA |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Dr. Mathison
Mica Mathison, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2946 Winfield Dunn Pkwy, Kodak, TN 37764-4306. The NPI number 1891233722 was assigned on February 11, 2017 and the record was last updated on October 26, 2020.
Dr. Mathison lists 2 licenses in the registry: #DS0000010581 (TN) for General Practice Dentistry; #DN015719 (GA) 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 Mica Mathison, DMD?
The NPI number is 1891233722.
What is the phone number of Dr. Mathison?
The phone number listed for the practice location is (865) 465-7058.
Where is Dr. Mathison located?
2946 Winfield Dunn Pkwy, Kodak, TN 37764-4306.
What is the taxonomy code for Dr. Mathison?
The primary taxonomy code is 1223G0001X – General Practice Dentistry; 2 more listed above.
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.
Other General Practice Dentistry providers in Kodak
- Noelan Schafer2946 Winfield Dunn Pkwy Ste 301
- Joseph Roberto, DDS2946 Winfield Dunn Pkwy Ste 301
- Eugene Stinson DDS2946 Winfield Dunn Pkwy