Dr. Chace Derrick Mickelson is a Coeur D Alene, Idaho based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Chace Derrick Mickelson is D-4605 for Dentistry in Idaho. His current practice location is 1090 W Park Pl, Suite B, Coeur D Alene. Patients can reach him at 208-292-0303.
Dr. Chace Derrick Mickelson is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Chace Derrick Mickelson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Chace Derrick Mickelson
Specialization:
Dentist
Gender:
Male
Credentials:
D.M.D
Accepts Medicare Assignment:
No
Practice Address:
1090 W Park Pl, Suite B, Coeur D Alene, Idaho, 83814-2785
Phone:
208-292-0303
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184035115
NPI Enumeration Date:
13 May, 2014
NPI Last Update On:
17 Aug, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Chace Derrick Mickelson are as mentioned below.
License Number
Specialization
State
Status
D-4605
Dentistry
Idaho
Primary
29854
Dentistry
Texas
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 3648, Coeur D'alene, Idaho
Zip:
83816
Phone Number:
208-292-0292
Patients can reach Dr. Chace Derrick Mickelson at 1090 W Park Pl, Suite B, Coeur D Alene, Idaho or can call to book an appointment on 208-292-0303. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.