# GEORGE A MIGHION DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720455728
- **Authorized official:** DR. GEORGE A MIGHION DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (574) 256-1579

## Contact information

- **Practice address:** 3420 HICKORY RD, MISHAWAKA, IN 46545-8804
- **Practice address phone:** (574) 315-0981
- **Mailing address:** 3420 HICKORY RD, MISHAWAKA, IN 46545-8804
- **Mailing address phone:** (574) 315-0981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 12009876 | IN | Yes |

## Other

- **Enumeration date:** 08/25/2015
- **Last updated:** 08/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200196930A | — | IN |