Mishko Dental PC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

MISHKO DENTAL PC

Practice address

216 S 3Rd St
Rogers City, MI 49779-1712

Phone

(989) 734-2828

NPI assigned

Aug 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald MishkoNPI 1366792657

Title

Owner

Phone

(989) 734-2828

Specialties & licenses 1

Addresses

Other names 1

• Rogers City Dental Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Mishko II, D.D.S.

  • General Practice Dentistry
  • Walled Lake, MI
  • NPI 1366792657
  NPD Authorized official
• James E Ryan, DDS

  • Dentist
  • Rogers City, MI
  • NPI 1023173093
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1124746227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497790215",
            "telephone_number": "989-734-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S 3RD ST",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791712",
            "telephone_number": "989-734-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHKO DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MISHKO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-734-2828"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rogers City Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers City Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanne L Longtin, MACCC-SLP
• Brian Losinski, RPH
• McLaren Central Michigan (McLaren Northern Michigan Rogers City Medical Office Building)
• McLaren Health Management Group (McLaren Home Care & Hospice)
• Valerie Meharg, CPM, LM
• Renae M Moltane, OT
• Laurie Mousseau
• Angela S Mowery, MD
• Mymichigan Medical Center Alpena
• Mymichigan Medical Center Alpena

• Public Health Dentistry in Rogers City, MI
• Providers in Rogers City, MI by specialty
• Public Health Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.