DR. LEO V. MIKESELL D.D.S
NPI 1992827877
Dentist - Oral and Maxillofacial Surgery in Chinle, AZ

Active since April 04, 2007
HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503(928) 674-7001(928) 674-7705 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leo V. Mikesell D.d.s NPPES

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

DR. LEO V. MIKESELL D.D.S (NPI 1992827877) is an individual oral and maxillofacial surgery provider in Chinle, Arizona, licensed in Utah (133643-9923) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1992827877
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. LEO V. MIKESELLCredential: D.D.S
Location AddressHWY 191 HOSPITAL ROADChinle, AZ 86503
Mailing AddressPo Drawer PhChinle, AZ 86503 · (928) 674-7001 · Fax (928) 674-7705
Fax(928) 674-7705
Sole ProprietorNo
Enumeration DateApril 4, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1992827877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in UT · 133643-9923
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
HWY 191 HOSPITAL ROAD, Chinle, AZ 86503

Other Identifiers 3

Medicare ID-Type Unspecified8HC177AZ · Medicare Part B - Chinle
Medicaid824624AZ
Medicare UPINT77955AZ

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.

Speech-Language Pathologist
HWY 191 HOSPITAL ROAD
CHINLE, AZ 86503
Pediatrics
HWY 191 HOSPITAL ROAD
CHINLE, AZ 86503

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 Leo Mikesell's NPI number?

The NPI number for Leo Mikesell is 1992827877. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Where is Leo Mikesell located?

Leo Mikesell practices at Hwy 191 Hospital Road, Chinle, AZ 86503. The listed phone number is (928) 674-7001.

What is Leo Mikesell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Leo Mikesell was last updated on July 9, 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.