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DR. GRANT JAMES MICKESH DDS
NPI 1144896598
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since May 27, 2021
1801 W WISCONSIN AVE, MILWAUKEE, WI 53233(414) 288-6790 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grant James Mickesh Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRANT JAMES MICKESH DDS (NPI 1144896598) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1144896598
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GRANT JAMES MICKESHCredential: DDS
Location Address1801 W WISCONSIN AVEMilwaukee, WI 53233-2186
Mailing Address1801 W Wisconsin AveMilwaukee, WI 53233-2186 · (414) 288-6790
Phone(414) 288-6790
Sole ProprietorNo
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1144896598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1801 W WISCONSIN AVE, Milwaukee, WI 53233
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARQUETTE UNIVERSITY
Dentist (General Practice)
1801 W WISCONSIN AVE, SUITE 145 B
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5902
AMIR SEIFI DDS
Dentist
1801 W WISCONSIN AVE, MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY. RM 325
MILWAUKEE, WI 53233
Milwaukee County (414) 288-6517
NARINE MIRZOYAN
Dentist (General Practice)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (262) 744-7463
DR. ARDITA AJVAZI
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (414) 288-7271
JACK MICHAEL KEESLER DDS, MSD
Dentist (Prosthodontics)
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (414) 288-5485
BRETT ANDREW KELLY
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (219) 776-9378
MIRANDA SAITOSKI DDS
Dentist
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (414) 288-6790
CIARA BJORKLUND DDS
Student in an Organized Health Care Education/Training Program
1801 W WISCONSIN AVE
MILWAUKEE, WI 53233
Milwaukee County (414) 288-6790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Mickesh's NPI number?

The NPI number for Grant Mickesh is 1144896598. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Grant Mickesh located?

Grant Mickesh practices at 1801 W Wisconsin Ave, Milwaukee, WI 53233. The listed phone number is (414) 288-6790.

What is Grant Mickesh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Grant Mickesh was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.