OrganizationActive
Mickelwait Family Dentistry PLLC
NPI 1568795649 · Dentist · Mount Vernon, WA
Mickelwait Family Dentistry PLLC is a Dentist organization in Mount Vernon, WA (NPI 1568795649).
Provider details
- NPI number
- 1568795649
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Joel Mickelwait, Member(360) 424-3450
- License
- DE60070169 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1420 Roosevelt Ave
Ste 7
Mount Vernon, WA 98273-2687
Phone: (360) 424-3450
Fax: (360) 428-0927
Street-level locationGet directions
Mailing address
1420 Roosevelt Ave
Mount Vernon, WA 98273-2687
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2009-09-08
Frequently asked questions
- What is Mickelwait Family Dentistry PLLC's NPI number?
- Mickelwait Family Dentistry PLLC's National Provider Identifier (NPI) is 1568795649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mickelwait Family Dentistry PLLC?
- Mickelwait Family Dentistry PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mickelwait Family Dentistry PLLC located?
- Mickelwait Family Dentistry PLLC's practice location on file with NPPES is 1420 Roosevelt Ave, Mount Vernon, WA 98273-2687.
- What is Mickelwait Family Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mickelwait Family Dentistry PLLC is (360) 424-3450.
- Who is the authorized official for Mickelwait Family Dentistry PLLC?
- The authorized official listed on Mickelwait Family Dentistry PLLC's NPPES record is Joel Mickelwait, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mickelwait Family Dentistry PLLC's NPI active?
- Yes — Mickelwait Family Dentistry PLLC's NPI (1568795649) is active in the NPPES registry as of the last update on 2009-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.