Individual provider · Type 1 NPI
Peter Hermann Mielke, DDS
Pediatric Dentistry · Maplewood, MN
NPI number
1568565612
Active
Practice location
1675 Beam Ave, #202
Maplewood, MN 55109
Fax (651) 779-9802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 7329 (MN) |
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.
4 other providers at this address
Other pediatric dentistry providers in Maplewood
About NPI 1568565612
Peter Hermann Mielke, DDS's National Provider Identifier is 1568565612, issued on Sep 6, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Maplewood, MN. The record was last updated on Jul 8, 2007.