Individual provider · Type 1 NPI
Bruce A. Mickelson, DDS
Dentist · Grand Rapids, MI
Practice location
976 3 Mile Rd NW
Grand Rapids, MI 49544
Fax (616) 785-9501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 11496 (MI) |
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 1760555692
Bruce A. Mickelson, DDS's National Provider Identifier is 1760555692, issued on Nov 16, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 8, 2007.