Individual provider · Type 1 NPI

Chace Derrick Mickelson, D.M.D

Dentist · Coeur D Alene, ID

NPI number 1184035115 Active

Practice location

1090 W Park Pl, Suite B
Coeur D Alene, ID 83814-2785

Call (208) 292-0303 Map

Mailing address

PO Box 3648
Coeur D'alene, ID 83816

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X29854 (TX)
Dentist Primary 122300000XD-4605 (ID)

Dentist: 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 requiremen…

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About NPI 1184035115

Chace Derrick Mickelson, D.M.D's National Provider Identifier is 1184035115, issued on May 13, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Aug 17, 2020.