Jerry Ervin Miracle in Monroe - General Practice
Jerry Ervin Miracle - NPI 1306908165
Jerry Ervin Miracle is a General Practice in Monroe, North Carolina. Jerry Ervin Miracle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jerry Ervin Miracle is 1306908165. The last update date is 2007-07-08.
Jerry Ervin Miracle's current location address is 1329 Patterson St, Monroe, North Carolina. You can contact this provider via phone number 7042891993. The mailing address for Jerry Ervin Miracle is 1329 Patterson St, Monroe, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Ervin Miracle |
|---|---|
| Address | 1329 Patterson St, Monroe, North Carolina |
| Phone Number | 7042891993 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1306908165 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1329 Patterson St |
|---|---|
| City | Monroe |
| State | North Carolina (NC) |
| Post Code | 281124349 |
| Phone Number | 7042891993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7308 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Jerry Ervin Miracle by the Centers for Medicare & Medicaid Services?
The Jerry Ervin Miracle has been issued the NPI (National Provider Identifier) 1306908165, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry Ervin Miracle?
The Jerry Ervin Miracle is physically situated at 1329 Patterson St, in the city of Monroe, state of NC, with the postal code 281124349.
What is Jerry Ervin Miracle's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Ervin Miracle is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306908165 to Jerry Ervin Miracle?
The Centers for Medicare & Medicaid Services originally issued the 1306908165 to Jerry Ervin Miracle on 2006-12-15.
As of what date were the details pertaining to Jerry Ervin Miracle last refreshed?
The information related to the Jerry Ervin Miracle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.