Chace Mickelson, D.M.D
NPI 1184035115 · on the registry since 2014
Practice
- Address
- 1090 W Park Pl
Suite B
Coeur D Alene, ID 83814 - Phone
- (208) 292-0303
- Organisation at this address
- Dirne Health Centers Inc
Dirne Health Centers Inc
Dirne Health Centers, Inc
Laboratory Corporation Of AmericaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- TX, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-17
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 Idaho