MICKELWAIT FAMILY DENTISTRY PLLC
NPI 1568795649
Dentist in Mount Vernon, WA

NPI Status: Active since September 08, 2009

Contact Information

1420 ROOSEVELT AVE
STE 7
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 424-3450
Fax: (360) 428-0927

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  • Organization
  • Dentist

About MICKELWAIT FAMILY DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for Mickelwait Family Dentistry Pllc, a provider established in Mount Vernon, Washington operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1568795649 assigned on September 2009. The practitioner's primary taxonomy code is 122300000X with license number DE60070169 (WA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Joel S Mickelwait D.d.s. (Member)

NPI
1568795649
Provider Name
MICKELWAIT FAMILY DENTISTRY PLLC
Entity Type
Organization
Location Address
1420 ROOSEVELT AVE STE 7 MOUNT VERNON, WA 98273
Location Phone
(360) 424-3450
Location Fax
(360) 428-0927
Mailing Address
1420 ROOSEVELT AVE STE 7 MOUNT VERNON, WA 98273
Mailing Phone
(360) 424-3450
Mailing Fax
(360) 428-0927
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2009
Last Update Date
09-08-2009
Code Navigator

A dentist like Mickelwait Family Dentistry Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DE60070169
License State
WA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOEL S MICKELWAIT D.D.S.

Authorized Official Title
MEMBER
Authorized Official Phone
(360) 424-3450

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568795649
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281491068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 4 + 9 + 1 + 0 + 6 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1568795649 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811944309 J SEMMES MICKELWAIT MD
Individual
Dermatology1420 ROOSEVELT AVE SUITE 7
MOUNT VERNON, WA 98273
(360) 424-4186
1427436260 KELLY ANN LYNCH RING LMP, RF
Individual
Mechanotherapist1420 ROOSEVELT AVE #7
MOUNT VERNON, WA 98273
(360) 840-6013
1114950375J SEMMES MICKELWAIT MD PS
Organization
Dermatology1420 ROOSEVELT AVE SUITE 7
MOUNT VERNON, WA 98273
(360) 424-4186
1790406718 ELIZABETH ANNE ELLIS LSWAIC
Individual
Counselor1420 ROOSEVELT AVE
MOUNT VERNON, WA 98273
(360) 939-1450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568795649, enumerated in the NPI registry as an "organization" on September 08, 2009

The provider is located at 1420 Roosevelt Ave Ste 7 Mount Vernon, Wa 98273 and the phone number is (360) 424-3450

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on September 08, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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