Jack J. Mitchell, DDS

Dentist · Lockport, IL

Individual Active NPI

NPI number 1902067143

Practice location

230 E 8TH St
Suite #5
Lockport, IL 60441-3081
Phone
(815) 838-6102
Fax
(815) 838-6281

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NPI record

NPI
1902067143
Entity type
Individual (Type 1)
Enumeration date
June 20, 2008
Last updated
June 20, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.015670 IL

About Dr. Mitchell

Jack J. Mitchell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 230 E 8TH St, Suite #5, Lockport, IL 60441-3081. The NPI number 1902067143 was assigned on June 20, 2008 and the record was last updated on June 20, 2008.

Dr. Mitchell lists a license in the registry: #019.015670 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack J. Mitchell, DDS?

The NPI number is 1902067143.

What is the phone number of Dr. Mitchell?

The phone number listed for the practice location is (815) 838-6102.

Where is Dr. Mitchell located?

230 E 8TH St, Suite #5, Lockport, IL 60441-3081.

What is the taxonomy code for Dr. Mitchell?

The primary taxonomy code is 122300000X – Dentist.

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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