T.L.Mikesell DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

T.L.MIKESELL DDS, PC

Practice address

408 St Joseph Ave
Suttons Bay, MI 49682-0759

Phone

(231) 271-3315

Fax

(231) 271-3317

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Thor Lyn Mikesell, DDSNPI 1952380974

Title

President

Phone

(231) 271-3315

Specialties & licenses 1

Addresses

Practitioners 1

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

• Thor L Mikesell, DDS

  • Dentist
  • Suttons Bay, MI
  • NPI 1952380974
  NPD Authorized official

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1841928207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820759",
            "telephone_number": "231-271-3315",
            "fax_number": "231-271-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 ST JOSEPH AVE",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820759",
            "telephone_number": "231-271-3315",
            "fax_number": "231-271-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.L.MIKESELL DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MIKESELL",
        "authorized_official_first_name": "THOR",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-271-3315",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suttons Bay Bingham Fire Rescue
• Suttons Bay Dental Center PLLC
• Suttons Bay Medical Clinic, PLC
• Suttons Bay Urgent Care Center
• Suttons Bay-Bingham Fire & Rescue Authority
• Tendercare (Michigan) Inc.
• The Prescription Shop of Suttons Bay, Inc
• Randy Scott U'Ren, O.D.
• Denise Kay Vonau, PA-C
• Danette Lea Wells, PA-C

• Dental Clinic/Center in Suttons Bay, MI
• Providers in Suttons Bay, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.