Search › Illinois › 122300000X
John Micka, D.D.S
NPI 1164614061 · on the registry since 2007 · sole proprietor
Practice
- Address
- 306 W Main St
St Charles, IL 60174 - Phone
- (630) 584-6177
- Fax
- (630) 584-8504
- Organisation at this address
- Route 64 Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois