Individual provider · Type 1 NPI

Mica Mathison, DMD

General Practice Dentistry · Kodak, TN

NPI number 1891233722 Active

About NPI 1891233722

Mica Mathison, DMD's National Provider Identifier is 1891233722, issued on Feb 11, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kodak, TN. The record was last updated on Oct 26, 2020.