| Dr Chace Derrick Mickelson, DMD | |
|
1090 W Park Pl, Suite B, Coeur D Alene, ID 83814-2785 | |
| (208) 292-0303 | |
| Not Available |
| Full Name | Dr Chace Derrick Mickelson |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1090 W Park Pl, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184035115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 29854 (Texas) | Secondary |
| 122300000X | Dentist | D-4605 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Chace Derrick Mickelson, DMD Po Box 3648, Coeur D'alene, ID 83816 Ph: (208) 292-0292 | Dr Chace Derrick Mickelson, DMD 1090 W Park Pl, Suite B, Coeur D Alene, ID 83814-2785 Ph: (208) 292-0303 |
Logan Ditto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2344 N Merritt Creek Loop, Coeur D Alene, ID 83814 Phone: 208-676-8500 | |
Wesley B Brimhall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 | |
Dr. Tais Trevelin Lowry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-874-7302 | |
Dr. Rachel B Fehling, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr, #200, Coeur D Alene, ID 83814 Phone: 208-666-1793 | |
Zachary Miller, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr Ste 241, Coeur D Alene, ID 83814 Phone: 208-449-0414 | |
Jeffrey Patten, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2615 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-765-3301 | |
Dr. Daniel J Shaw, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 |