Individual provider · Type 1 NPI
David John Mikulencak, DDS
Periodontics · Temple, TX
NPI number
1487661252
Active
Practice location
1615 Forest Trl
Temple, TX 76502-2715
Fax (254) 778-6499
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 10727 (TX) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
About NPI 1487661252
David John Mikulencak, DDS's National Provider Identifier is 1487661252, issued on Aug 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Temple, TX. The record was last updated on Jul 8, 2007.