What is Bruce Mickelson's NPI number?

Bruce Mickelson's National Provider Identifier (NPI) is 1760555692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bruce Mickelson's specialty?

Bruce Mickelson is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Bruce Mickelson located?

Bruce Mickelson's practice location on file with NPPES is 976 3 Mile Rd Nw, Grand Rapids, MI 49544.

What is Bruce Mickelson's phone number?

The practice phone number listed in the NPPES registry for Bruce Mickelson is (616) 784-4038.

Is Bruce Mickelson's NPI active?

Yes — Bruce Mickelson's NPI (1760555692) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Bruce Mickelson, DDS

NPI 1760555692 · Dentist · Grand Rapids, MI

Bruce Mickelson, DDS is a Dentist provider in Grand Rapids, MI (NPI 1760555692).

Provider details

NPI number: 1760555692
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 11496 (MI)

Specialties & taxonomies

DentistPrimary122300000XLicense 11496 (MI)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

976 3 Mile Rd Nw

Grand Rapids, MI 49544

Phone: (616) 784-4038

Fax: (616) 785-9501

Street-level locationGet directions

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Mailing address