Provider Demographics
NPI:1538380100
Name:MITCHELS, GEORGE NICHOLAS (DMD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:NICHOLAS
Last Name:MITCHELS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 614
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-0614
Mailing Address - Country:US
Mailing Address - Phone:908-874-6777
Mailing Address - Fax:908-874-5685
Practice Address - Street 1:350 TRIANGLE ROAD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844
Practice Address - Country:US
Practice Address - Phone:908-874-6777
Practice Address - Fax:908-874-5685
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ105151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice