Bruce Miklas is a Dentist in Roosevelt, New York. Bruce Miklas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Miklas is 1588671846. The last update date is 2007-07-08.
Bruce Miklas's current location address is 380 Washington Ave, Roosevelt, New York. You can contact this provider via phone number 5163782000. The mailing address for Bruce Miklas is 380 Washington Ave, Roosevelt, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Miklas |
|---|---|
| Address | 380 Washington Ave, Roosevelt, New York |
| Phone Number | 5163782000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588671846 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 380 Washington Ave |
|---|---|
| City | Roosevelt |
| State | New York (NY) |
| Post Code | 115751845 |
| Phone Number | 5163782000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 26016 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26016 | NY | -- |
Post Comment/ Review Below
What is the Bruce Miklas's 1588671846?
The Bruce Miklas's NPI (National Provider Identifier) Number is 1588671846. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Bruce Miklas's facilities are situated?
The facilities of Bruce Miklas are physically located at the following address: 380 Washington Ave, Roosevelt, NY, 115751845.
What is Bruce Miklas's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bruce Miklas's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When was the Bruce Miklas's 1588671846 issued?
The Bruce Miklas's 1588671846 was issued on 2006-08-01.
When was the information related to Bruce Miklas most recently updated or refreshed?
The details pertaining to the Bruce Miklas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.