TIMOTHY E MICKIEWICZ DENTAL CORPORATION
NPI 1558668244
Preferred Provider Organization in Sacramento, CA

Q: What is Timothy E Mickiewicz Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Active since February 16, 2011

3401 FOLSOM BLVD, SUITE A, SACRAMENTO, CA 95816(916) 457-7710 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Timothy E Mickiewicz Dental Corporation NPPES

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

TIMOTHY E MICKIEWICZ DENTAL CORPORATION (NPI 1558668244) is a healthcare organization registered as a preferred provider organization in Sacramento, California and active in the NPI registry since February 2011. The organization lists Timothy Mickiewicz, Dentist, as its authorized official.

NPPES Registry Identity

NPI1558668244

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameTIMOTHY E MICKIEWICZ DENTAL CORPORATION

Location Address3401 FOLSOM BLVD, SUITE ASacramento, CA 95816-5354

Mailing Address3401 Folsom Blvd, Suite ASacramento, CA 95816-5354 · (916) 457-7710

Phone(916) 457-7710

Organization SubpartNo

Authorized OfficialTimothy MickiewiczDentist · (916) 457-7710

Enumeration DateFebruary 16, 2011

Last NPPES UpdateAugust 13, 2014

✔ NPI 1558668244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in CA · 30810

Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

3401 FOLSOM BLVD, Sacramento, CA 95816

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Other Providers at the Same Location NPPES 5

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

MRS. INGRID S PARRY P.T.

Physical Therapist

3401 FOLSOM BLVD, SUITE B
SACRAMENTO, CA 95816

Sacramento County (916) 455-5524

PARRY PHYSICAL THERAPY & ATHLETIC ENHANCEMENT, INC.

Clinic/Center (Physical Therapy)

3401 FOLSOM BLVD, SUITE B
SACRAMENTO, CA 95816

Sacramento County (916) 455-5524

MRS. LAURA SANTANA BOWER PT

Physical Therapist

3401 FOLSOM BLVD, SUITE B
SACRAMENTO, CA 95816

Sacramento County (916) 455-5524

DR. RYAN WILGUS D.D.S.

Dentist

3401 FOLSOM BLVD, SUITE A
SACRAMENTO, CA 95816

Sacramento County (916) 457-7710

MR. GREGORY JOHN PARRY P.T.

Physical Therapist

3401 FOLSOM BLVD, SUITE B
SACRAMENTO, CA 95816

Sacramento County (916) 455-5524

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 Timothy E Mickiewicz Dental Corporation's NPI number?

The NPI number for Timothy E Mickiewicz Dental Corporation is 1558668244. It was assigned to this organization in the NPPES registry on February 16, 2011.

Where is Timothy E Mickiewicz Dental Corporation located?

Timothy E Mickiewicz Dental Corporation is located at 3401 Folsom Blvd Suite A, Sacramento, CA 95816. The listed phone number is (916) 457-7710.

What is Timothy E Mickiewicz Dental Corporation's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Timothy E Mickiewicz Dental Corporation was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.