JESS MIKESELL, DDS
General Practice Dentistry · CENTRALIA, IL
Individual Active Opted out of Medicare NPI 1841311024
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | ✓ | 319 009068 019019675 | IL |
| Dentist | 122300000X | 014683 | MO | |
| Dentist | 122300000X | — | IL |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Dentist), effective 2016-08-26 through 2026-08-26.
Other General Practice Dentistry providers in Illinois
- NPI 1396894093
- NPI 1184747362
- NPI 1669614145
- NPI 1225270192
- NPI 1013982933
- NPI 1992858674
- NPI 1184613887
- NPI 1356488365
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.