Search › Nebraska › 124Q00000X
Gabrielle Mickelson, RDH, PHRDH
NPI 1770834970 · on the registry since 2012
Practice
- Address
- 204 W 36th St
Scottsbluff, NE 69361 - Phone
- (308) 641-7414
- Organisation at this address
- Scottsbluff Dentist Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 111 N Dewey St, North Platte, NE
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Also registered as
- 174400000X
- Licence states on file
- NE
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-08
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 Nebraska