Mikell, Julia K.

Mikell, Julia K. is an sole proprietor health care provider with primary practice located at 3261 Harrison Rd , Columbia SC 29204-2657. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mikell, Julia K. can be contacted via phone (803) 738-1114.

Contact Information

Primary practice address
3261 Harrison Rd Columbia SC 29204-2657
Phone: (803) 738-1114
Fax: (803) 738-1266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3270 South Carolina

Profile Details

NPI number 1710949946
LBN Legal business name Mikell, Julia K.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710949946 NPPES
South Carolina MEDICAID Z32704
South Carolina Other 842520

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