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MR. MIKE N MISKOVICH DDS
NPI 1609941863
Dentist - General Practice in Grand Rapids, MN

Active since November 22, 2006
1121 SE 4TH AVENUE, GRAND RAPIDS, MN 55744(218) 326-3437(218) 327-1211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mike N Miskovich Dds NPPES

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

MR. MIKE N MISKOVICH DDS (NPI 1609941863) is an individual general practice provider in Grand Rapids, Minnesota, licensed in Minnesota (8313) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609941863
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. MIKE N MISKOVICHCredential: DDS
Location Address1121 SE 4TH AVENUEGrand Rapids, MN 55744
Mailing Address1121 Se 4th AvenueGrand Rapids, MN 55744 · (218) 326-3437 · Fax (218) 327-1211
Phone(218) 326-3437
Fax(218) 327-1211
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609941863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · 8313
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1121 SE 4TH AVENUE, Grand Rapids, MN 55744
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Other Identifiers 2

Other85154United Concordia
Other72417MIMN · Blue Cross Blue Sh Mn

Other Providers at the Same Location NPPES 2

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

MISKOVICH DENTAL CLINIC
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437
MR. PETER J MISKOVICH DDS
Dentist (General Practice)
1121 SE 4TH AVENUE
GRAND RAPIDS, MN 55744
Itasca County (218) 326-3437

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 Mike Miskovich's NPI number?

The NPI number for Mike Miskovich is 1609941863. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Mike Miskovich located?

Mike Miskovich practices at 1121 SE 4th Avenue, Grand Rapids, MN 55744. The listed phone number is (218) 326-3437.

What is Mike Miskovich's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mike Miskovich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.