Individual provider · Type 1 NPI

Mike Douglas Mysinger, DDS

Pediatric Dentistry · Knoxville, TN

NPI number 1366430597 Active

Practice location

120 Capital Dr, Suite 101
Knoxville, TN 37922-3478

Call (865) 693-7070 Map

Fax (865) 693-7317

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X6841 (TN)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1366430597

Mike Douglas Mysinger, DDS's National Provider Identifier is 1366430597, issued on Oct 12, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Knoxville, TN. The record was last updated on Mar 23, 2017.