Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902048754 Individual Practitioner Male Practitioner

Dr. Michael J Misencik , DDS

Dentist • Lodi, OH

Professional Overview & Biography Verified Profile Summary

Dr. Michael Misencik, DDS is a registered healthcare professional specializing in Dentist in Lodi, OH. Practice services are available at 109 HARRIS ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

109 Harris Road

Lodi, OH 44254

Telephone 3303024005

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lodi, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Lodi, OH (2953 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 018257

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0666097 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 30, 2023

Registered at 109 HARRIS ROAD, LODI, OH 44254 (Tel: 3303024005)

📍
Updated Business Mailing Address June 30, 2023

Registered at 1205 CANYON VIEW RD, SAGAMORE HILLS, OH 44067 (Tel: 2166886349)

👤
Provider Name / Credentials Updated June 30, 2023

Recorded as MICHAEL MISENCIK, DDS

NPI Profile Active March 25, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2009

Registered at 1205 CANYON VIEW RD, SAGAMORE HILLS, OH 440672249 (Tel: 3304594159)

📍
Updated Business Mailing Address March 25, 2009

Registered at 1205 CANYON VIEW RD, SAGAMORE HILLS, OH 440672249 (Tel: 3304594159)

👤
Provider Name / Credentials Updated March 25, 2009

Recorded as MICHAEL MISENCIK, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2009

Dentist (License #018257 in OH)

🟢
Initial NPI Registration & Enumeration March 25, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902048754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2009
Last Update: June 30, 2023
Sole Proprietor: No

Mailing Address

1205 Canyon View Rd

Sagamore Hills, OH 44067

Phone: 2166886349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.