Individual provider · Type 1 NPI

Jerry Ervin Miracle, DDS

General Practice Dentistry · Monroe, NC

NPI number 1306908165 Active

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.