Individual provider · Type 1 NPI
Kristin Cavanah Mirda, DMD
Pediatric Dentistry · Melbourne, FL
NPI number
1225144017
Active
Practice location
8061 Spyglass Hill Rd, Suite 101
Melbourne, FL 32940-8297
Fax (321) 622-6254
Mailing address
215 S Marco Way
Satellite Beach, FL 32937-3453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | DN17649 (FL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Melbourne
- Marian Iskander Manson, DMDPediatric Dentistry Melbourne, FL NPI 1003136649
- Morvarid Moini Kihm, DMD, M.P.H.Pediatric Dentistry Melbourne, FL NPI 1215380712
- Idaigna Maria Alvarez, DMD, MSPediatric Dentistry Melbourne, FL NPI 1447426994
- Raymond Lyle Pollock, DDSPediatric Dentistry Melbourne, FL NPI 1548301906
- Michael James Mackay, DMDPediatric Dentistry Melbourne, FL NPI 1902978026
About NPI 1225144017
Kristin Cavanah Mirda, DMD's National Provider Identifier is 1225144017, issued on Aug 22, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Melbourne, FL. The record was last updated on Apr 28, 2010.