Miracle Dental Center PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7308 Issued in NC

Legal business name

MIRACLE DENTAL CENTER PA

Practice address

1329 Patterson St
Monroe, NC 28112-4349

Phone

(704) 289-1993

Fax

(704) 226-1743

NPI assigned

Mar 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry E MiracleNPI 1306908165

Title

Dentist

Phone

(704) 289-1993

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Ervin Miracle, DDS

  • General Practice Dentistry
  • Monroe, NC
  • NPI 1306908165
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376673632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PATTERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124349",
            "telephone_number": "704-289-1993",
            "fax_number": "704-226-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 PATTERSON ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124349",
            "telephone_number": "704-289-1993",
            "fax_number": "704-226-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRACLE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-289-1993",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Davis Milner, MD
• Mind and Motion Wellness Center PLLC
• Mindcraft ABA LLC
• Emma Minnich
• Jason B Minsky, D.C.
• Jerry Ervin Miracle, DDS
• Cawetha Annette Mitchell, LCSW-A
• Kamari Demond Mitchell, MD
• Megan Mitchell
• Khalil Mjahed, DDS

• General Practice Dentistry in Monroe, NC
• Providers in Monroe, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.