Whalio Doctors

NPI 1043350507

Michelle Lynne Mistele, DMD

Practitioner General Practice Dentistry Irmo, SC

Practice location

Address
3533 Dreher Shoals Rd, Irmo, SC 29063-9115
Phone
(803) 732-3001
Fax
(803) 732-3190
Mailing address
1315 Glenn St, Newberry, SC 29108-3015

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 003337 (SC)

Registry record

NPI
1043350507
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Feb 2007
Record last updated
9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.