NPI 1063427458

Alex Augustus Miele

Practitioner General Practice Dentistry Methuen, MA

Practice location

Address: 13 Branch St, Methuen, MA 01844-1975
Phone: (978) 683-4114
Mailing address: 6 Truman Rd, Wilmington, MA 01887-1467

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 15637 (MA)

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Registry record

NPI: 1063427458
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.