Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Rae Mick, DMD

Individual provider General Practice Dentistry · NPI 1043871254

Madison Rae Mick, DMD is a General Practice Dentistry in Niles, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1951 Oak St
Niles, MI 49120-3738
Phone: (269) 262-4749
Fax: (269) 262-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24 N Saint Joseph Ave Ste G, Niles, MI 49120-2263 — (269) 262-0399

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901600158 (MI)

Record details

NPI number1043871254
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 27, 2019
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address1951 Oak St, Niles, MI 49120-3738

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