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Prenard Mickens, D.D.S
NPI 1942499207 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1416 Yanceyville St
Suite 2
Greensboro, NC 27405 - Phone
- (917) 805-8509
- Organisation at this address
- Kathleen E. Lucas Md, Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Endodontics
1223E0200X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-23
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 North Carolina