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 is a Dentist 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.

See every abbreviation used in this directory →

Practice location Address checks out

1420 Roosevelt Ave Ste 7
Mount Vernon, WA 98273-2687
Phone: (360) 424-3450
Fax: (360) 428-0927
Show map & directions

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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