THOMAS KELLY LIVINGSTON MIRCHEL DDSMD NPI 1861855132

NPI Information

Thomas Kelly Livingston Mirchel, DDS,MD is an oral and maxillofacial surgery dentist in Vancouver, WA. The provider is an oral and maxillofacial surgery dentist specialized in 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. Thomas Kelly Livingston Mirchel, DDS,MD NPI is 1861855132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8101 NE PARKWAY DR STE F2
VANCOUVER, WA
ZIP 98662-434
Phone: (360) 882-4000

The enumeration date for this NPI number is 4/3/2016 and was last updated on 5/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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