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

Mica Mathison, DMD

Individual provider General Practice Dentistry · NPI 1891233722

Mica Mathison, DMD is a General Practice Dentistry in Kodak, Tennessee. Licensed in Georgia and Tennessee. Registered with an NPI since 2017.

Licensed in
GA, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2946 Winfield Dunn Pkwy
Kodak, TN 37764-4306
Phone: (865) 465-7058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS0000010581 (TN)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN015719 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891233722
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 11, 2017
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address2946 Winfield Dunn Pkwy, Kodak, TN 37764-4306

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