Organization
WILLIAM A. MISCHLER DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. MISCHLER DMD (OWNER)
(812) 923-9839
Entity
Organization
Contact information
Practice address
3684 HIGHWAY 150 STE 1, FLOYDS KNOBS, IN 47119-9692
(812) 923-9839
Mailing address
3684 HIGHWAY 150 STE 1, FLOYDS KNOBS, IN 47119-9692
(812) 923-9839
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12007954A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
4963
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201409950A
—
IN
05
—
60049632
—
KY
Enumeration date
06/22/2017
Last updated
07/21/2022
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