Individual provider · Type 1 NPI
Jerry Ervin Miracle, DDS
General Practice Dentistry · Monroe, NC
NPI number
1306908165
Active
Practice location
1329 Patterson St
Monroe, NC 28112-4349
Fax (704) 226-1743
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 7308 (NC) |
General Practice Dentistry: 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.
Another provider at this address
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About NPI 1306908165
Jerry Ervin Miracle, DDS's National Provider Identifier is 1306908165, issued on Dec 15, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Monroe, NC. The record was last updated on Jul 8, 2007.