Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. J Ryan Mickelson, DDS

Individual provider General Practice Dentistry · NPI 1346351624

Dr. J Ryan Mickelson, DDS is a General Practice Dentistry in Durango, Colorado. Practices as a sole proprietor. Licensed in Colorado, Idaho and New Mexico.

Licensed in
CO, ID, NM
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2530 Colorado Ave Ste 1A
Durango, CO 81301-4760
Phone: (970) 247-0174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 8630 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence D-4547 (ID)
General Practice Dentistry Taxonomy 1223G0001X · Licence DD3644 (NM)

Record details

NPI number1346351624
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address2530 Colorado Ave, Suite 1a, Durango, CO 81301-4760

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