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

Nicholas K. Mickelson, DMD

Individual provider General Practice Dentistry · NPI 1821441601

Nicholas K. Mickelson, DMD is a General Practice Dentistry in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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

10041 W Hillsborough Ave
Tampa, FL 33615-3002
Phone: (813) 235-0957
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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 DN 22135 (FL)

Record details

NPI number1821441601
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 18, 2016
Mailing address10041 W Hillsborough Ave, Tampa, FL 33615-3002

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