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DR. PRENARD RAINEY MICKENS D.D.S.
NPI 1942499207
Dentist - Endodontics in Greensboro, NC

Active since October 23, 2007
1416 YANCEYVILLE ST, SUITE 2, GREENSBORO, NC 27405(917) 805-8509 Get Directions Write a Review

NPPES record last updated: October 23, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Prenard Rainey Mickens D.d.s. NPPES

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

DR. PRENARD RAINEY MICKENS D.D.S. (NPI 1942499207) is an individual endodontics provider in Greensboro, North Carolina, licensed in North Carolina (7637) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1942499207
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. PRENARD RAINEY MICKENSCredential: D.D.S.
Location Address1416 YANCEYVILLE ST, SUITE 2Greensboro, NC 27405-6955
Mailing Address300 W 135th St Apt 7dNew York, NY 10030-2760 · (212) 234-6978
Phone(917) 805-8509
Sole ProprietorYes
Enumeration DateOctober 23, 2007
✔ NPI 1942499207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NC · 7637
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1416 YANCEYVILLE ST, Greensboro, NC 27405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Other Providers at the Same Location NPPES

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

KATHLEEN E. LUCAS MD, PA
Pediatrics
1416 YANCEYVILLE ST, SUITE 1
GREENSBORO, NC 27405
Guilford County (336) 510-5510

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 Prenard Mickens's NPI number?

The NPI number for Prenard Mickens is 1942499207. It was assigned to this individual provider in the NPPES registry on October 23, 2007.

Where is Prenard Mickens located?

Prenard Mickens practices at 1416 Yanceyville St Suite 2, Greensboro, NC 27405. The listed phone number is (917) 805-8509.

What is Prenard Mickens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Prenard Mickens accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Prenard Mickens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prenard Mickens was last updated on October 23, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.