Search › Minnesota › 1223E0200X
Layton Mikkalson, DDS
NPI 1497365134 · on the registry since 2020 · sole proprietor
Practice
- Address
- 15535 34th Ave N Ste 200
Plymouth, MN 55447 - Phone
- (763) 233-3359
- Organisation at this address
- Pdg, Pa
South Lake Clinic, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-07
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 Minnesota