Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mickelwait Family Dentistry PLLC

Organization Dentist · NPI 1568795649

Mickelwait Family Dentistry PLLC provides Dentist services in Mount Vernon, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1420 Roosevelt Ave Ste 7
Mount Vernon, WA 98273-2687 Not confirmed with CMS for 17 years — call before visiting
Phone: (360) 424-3450
Fax: (360) 428-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DE60070169 (WA)

Record details

NPI number1568795649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joel Mickelwait — Member · (360) 424-3450
NPI enumeratedSeptember 8, 2009
Last updated in NPPESSeptember 8, 2009
Mailing address1420 Roosevelt Ave, Ste 7, Mount Vernon, WA 98273-2687

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