Individual provider · Type 1 NPI
Leo V. Mikesell, D.D.S
Oral and Maxillofacial Surgery (Dentist) · Chinle, AZ
NPI number
1992827877
Active
Practice location
Hwy 191 Hospital Road
Chinle, AZ 86503
Fax (928) 674-7705
Mailing address
PO Drawer Ph
Chinle, AZ 86503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 133643-9923 (UT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2 other providers at this address
About NPI 1992827877
Leo V. Mikesell, D.D.S's National Provider Identifier is 1992827877, issued on Apr 4, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chinle, AZ. The record was last updated on Jul 9, 2007.