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Active NPI 1154475226 Individual Practitioner Male Practitioner

Dr. Samuel J Mitschke , DDS

Dentist - General Practice • Lake Jackson, TX

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Mitschke, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lake Jackson, TX. Practice services are available at 201 OAK DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 Oak Dr S
Suite 206

Lake Jackson, TX 775665676

Telephone 9792972491
Fax 9792973468
Associated Practice Facility / Clinic
🏢 Brazosport Ear, Nose & Throat Clinic, Pa Facility NPI 1013998673

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lake Jackson, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Lake Jackson, TX (10570 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 21826

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Philip Koury , DDS

Dentist - General Practice

NPI 1033263108

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 201 OAK DR S, SUITE 206, LAKE JACKSON, TX 775665676 (Tel: 9792972491)

📍
Updated Business Mailing Address July 08, 2007

Registered at 201 OAK DR S, SUITE 206, LAKE JACKSON, TX 775665676 (Tel: 9792972491)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL MITSCHKE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #21826 in TX)

🟢
Initial NPI Registration & Enumeration January 23, 2007

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: 1154475226
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

201 Oak Dr S, Suite 206

Lake Jackson, TX 775665676

Phone: 9792972491

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.