JESS MIKESELL, DDS

General Practice Dentistry · CENTRALIA, IL

Individual Active Opted out of Medicare NPI 1841311024

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Dentistry1223G0001X319 009068 019019675IL
Dentist122300000X014683MO
Dentist122300000XIL

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

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.