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

Robert Mikelson, DDS

Individual provider General Practice Dentistry · NPI 1104114214

Robert Mikelson, DDS is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
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

3838 W 111th St Ste 105
Chicago, IL 60655-4042
Phone: (773) 233-6300
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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 019019576 (IL)

Record details

NPI number1104114214
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2011
Last updated in NPPESJuly 11, 2011
Mailing address3838 W 111th St Ste 105, Chicago, IL 60655-4042

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