MEDICARE: MITCHELL AND MITCHELL DDS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901015732	MI

General Provider Information

NPI Number	:	1912174962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MITCHELL AND MITCHELL DDS PC

Provider Business Mailing Address
First Line	:	29820 HARPER AVE
Second Line	:	SUITE A
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48082-2644
Country	:	US
Telephone Number	:	586-285-5200
Fax Number	:	586-285-5400

Provider Business Practice Location Address
First Line	:	29820 HARPER AVE
Second Line	:	SUITE A
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48082-2644
Country	:	US
Telephone Number	:	586-285-5200
Fax Number	:	586-285-5400

Authorized Official
Title or Position	:	CO OWNER
Name	:	DR. VINCENT EDWARD MITCHELL
Credential	:	DDS
Telephone Number	:	586-285-5200

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/09/2008

Similar Medicare Providers

1700997756 — DR. VINCE EDWARD MITCHELL DDS
Practice Location Address:

29820 HARPER AVE
SAINT CLAIR SHORES, MI
48082-2644

Practice Phone: 586-285-5200
Practice Fax:

1225670060 — MARK FOUAD-MESHRIKY
Practice Location Address:

29820 HARPER AVE
SAINT CLAIR SHORES, MI
48082-2644

Practice Phone: 586-285-5200
Practice Fax:

1003411448 — BENJAMIN MUSAJA KITOBO
Practice Location Address:

345 PHOENIX DR
SAINT LOUIS, MO
63129-2644

Practice Phone: 314-482-0861
Practice Fax:

1700636511 — BARBARA PETRANELLA DYER MD
Practice Location Address:

2603 MULBERRY ST
SAINT JOSEPH, MO
64501-2644

Practice Phone: 816-294-1988
Practice Fax:

1215818141 — JAYLA LEE MINGO
Practice Location Address:

31225 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48082-1301

Practice Phone: 586-519-6331
Practice Fax:

1245572197 — SUE LAINGE TYCE PHD
Practice Location Address:

29820 JEFFERSON AVE
SAINT CLAIR SHORES, MI
48082-1844

Practice Phone: 313-303-6604
Practice Fax:

Directions to “MITCHELL AND MITCHELL DDS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.