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DR. DENNIS LYNN MICKLESON M.D.
NPI 1619388600
Family Medicine - Adult Medicine in Palmer, AK

Active since May 13, 2014
8220 GOLD BULLION BLVD, PALMER, AK 99645(907) 745-0832(907) 745-0832 Get Directions Write a Review

NPPES record last updated: May 13, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Dennis Lynn Mickleson M.d. NPPES

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

DR. DENNIS LYNN MICKLESON M.D. (NPI 1619388600) is an individual adult medicine provider in Palmer, Alaska, licensed in Alaska (AA2638) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1619388600
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. DENNIS LYNN MICKLESONCredential: M.D.
Location Address8220 GOLD BULLION BLVDPalmer, AK 99645
Mailing AddressPo Box 2863Palmer, AK 99645-2863 · (907) 745-0832 · Fax (907) 745-0832
Phone(907) 745-0832
Fax(907) 745-0832
Sole ProprietorYes
Enumeration DateMay 13, 2014
✔ NPI 1619388600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AK · AA2638
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
8220 GOLD BULLION BLVD, Palmer, AK 99645
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Other Identifiers 1

Medicare UPINE14670AK

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 Dennis Mickleson's NPI number?

The NPI number for Dennis Mickleson is 1619388600. It was assigned to this individual provider in the NPPES registry on May 13, 2014.

Where is Dennis Mickleson located?

Dennis Mickleson practices at 8220 Gold Bullion Blvd, Palmer, AK 99645. The listed phone number is (907) 745-0832.

What is Dennis Mickleson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Dennis Mickleson was last updated on May 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.