DR. MICKEY JOE CALVERLEY D.D.S. - NPI 1902029077

Q: What is Mickey Calverley's NPI number?

The NPI number for Mickey Calverley is 1902029077. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Q: What is Mickey Calverley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Mickey Calverley was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mickey Joe Calverley D.d.s. NPPES

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

DR. MICKEY JOE CALVERLEY D.D.S. (NPI 1902029077) is an individual prosthodontics provider in San Antonio, Texas, licensed in Texas (10678) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1902029077

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. MICKEY JOE CALVERLEYCredential: D.D.S.

Location Address1314 E SONTERRA BLVD, SUITE 104San Antonio, TX 78258-4278

Mailing Address1314 E Sonterra Blvd, Suite 104San Antonio, TX 78258-4278 · (210) 308-8211 · Fax (210) 308-0650

Phone(210) 308-8211

Fax(210) 308-0650

Sole ProprietorNo

Enumeration DateApril 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1902029077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in TX · 10678

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

1314 E SONTERRA BLVD, San Antonio, TX 78258

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