Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Robert Mikelson, DDS

Individual provider General Practice Dentistry · NPI 1104114214

Robert Mikelson, DDS practises 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 Not confirmed with CMS for 15 years — call before visiting
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

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