Miranda Ann Carlile, RDH
Individual provider Active NPI Dental Hygienist · Artesia, NM
NPI 1083990857 · NPPES record last updated Nov 6, 2017
Key facts
- NPI
- 1083990857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH3530 (NM)
- Practice address
- 1105 Memorial Dr
Artesia, NM 88210-1189 - Phone
- (575) 746-9848
- NPI assigned
- Oct 25, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH3530 | NM | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH3530 | NM | Yes |
Addresses
Primary practice location
1105 Memorial Dr
Artesia, NM 88210-1189
Mailing address
PO Box 2267
Santa Fe, NM 87504-2267
Other providers in Artesia, NM
- Dan Bustamante
- Michael Chao Butterfield
- Eva L Cabezuela
- Tammy Cagle
- Susan Irene Caley
- John Castle
- Koby Crit Caton
- Veronica Chavira
- Horim Choi
- Tuangratch Chow
All providers in Artesia, NM · Dental Hygienist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.