DR. MICHAEL POWELL MULLEN (NPI# 1396952347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396952347 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL POWELL MULLEN |
| Credential | DDS |
| Practice Address |
2350 Professional Dr Suite 400 Roseville CA 95661-7747 |
| Practice Telephone | 9167863930 |
| Practice Fax Number | 9167862435 |
| Mailing Telephone | 9167863930 |
| Mailing Fax Number | 9167862435 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
37070 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026544 | Michael Mullen | Social Worker | 4335 San Pedro Dr Ne Apt E7, Albuquerque, NM 87109-2682 | 2020-03-02 |
| 1174029078 | Michael Bryan Mullen | Otolaryngology | 358 Duke Rd, Lexington, KY 40502 | 2018-04-01 |
| 1790073070 | Michael James Mullen | Pharmacist | 2200 Westchester Dr, St 126, High Point, NC 27262-7099 | 2011-07-20 |
| 1790815462 | Michael Romney Mullen | Dentist | 2039 Trawood, El Paso, TX 79935 | 2007-03-06 |
| 1962550384 | Michael Joseph Mullen IIi | Dentist | 943 West Countyline Road, Warmmister Township, Hatboro P O, PA 19040-1008 | 2007-01-08 |
| 1942282694 | Michael Lewis Mullen | Chiropractor | 304 Grant Rd, Suite 1, East Wenatchee, WA 98802-5384 | 2005-11-17 |
| 1316390917 | Michael Campbell Mullen | Hearing Instrument Specialist | 406 Blankenbaker Pkwy, Middletown, KY 40243-1881 | 2016-07-19 |
| 1417356825 | Michael Edward Mullen | Physician Assistant | 856 Century Drive, Mechanicsburg, PA 17055-4505 | 2014-08-21 |
| 1215203195 | Michael Peter Mullen | Physician Assistant | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2012-03-26 |
| 1629269758 | Michael G Mullen | Counselor | 5 W Cayuga St, Oswego, NY 13126-2031 | 2007-08-05 |
| Street Address |
2350 PROFESSIONAL DR SUITE 400 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-7747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239421 | Michael D Forde | Dentist | 2350 Professional Dr, 100, Roseville, CA 95661-7747 | 2006-01-10 |
| 1609318443 | Jefferson Clark | Dentist | 2350 Professional Dr, Suite 100, Roseville, CA 95661-7747 | 2016-11-10 |
| 1477896694 | Bradley Robert Thompson | Dentist | 2350 Professional Dr, Suite 200, Roseville, CA 95661-7747 | 2013-04-06 |
| 1164513834 | John Paul Hansen | Dentist | 2350 Professional Dr, Suite 200, Roseville, CA 95661-7747 | 2006-09-27 |
| 1376647487 | Sidney Charles Wisdom | Dentist | 2350 Professional Dr, Suite 300, Roseville, CA 95661 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1861796393 | Parshan Namiranian | Dentist | 9225 Sierra College Blvd, Roseville, CA 95661-5919 | 2010-12-24 |
| 1093044927 | Sierra Foothills Oral & Maxillofacial Surgery Group | Dentist | 2350 Professional Drive, Suite 400, Roseville, CA 95661-7747 | 2009-12-24 |
| 1750553889 | Alexander Antipov | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678-1383 | 2008-03-28 |
| 1063609030 | Alexander Rabinovich | Dentist | 9655 Pinehurst Dr, Roseville, CA 95747-6336 | 2007-10-03 |
| 1992739379 | Henry Gasson Bryan | Dentist | 20805 E 12 Mile Rd, Suite 110, Roseville, MI 48066-6502 | 2006-07-10 |
| 1255337564 | Lawrence H Kent | Dentist | 1912 Lexington Ave N, Roseville, MN 55113-6113 | 2005-06-22 |
| 1447641295 | Christopher Michael Rivers | Dentist | 1835 County Road C W Ste 200, Roseville, MN 55113-1353 | 2015-02-16 |
| 1871982520 | Solutions To Smile About Inc | Dentist | 730 Sunrise Ave, Suite 138, Roseville, CA 95661-4567 | 2015-01-19 |
| 1407279177 | Galleria Oral and Maxillofacial Surgery | Dentist | 911 Reserve Drive, Suite #150, Roseville, CA 95678 | 2014-01-30 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.