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Dr. Malcolm Baker Miracle, DMD
General Practice Dentistry in Florence, Kentucky
NPI 1124184056

Malcolm Baker Miracle is a General Practice Dentistry based in Covington, KY and is specialized in General Practice. Malcolm Baker Miracle practices in Florence, KY and has the professional credentials of DMD. The NPI Number for Malcolm Baker Miracle is 1124184056 and holds a License No. 6261 (Kentucky).

The current practice location address for Malcolm Baker Miracle is 7607 Dixie Hwy, Florence, KY and can be reached out via phone at 859-655-6100. You can also correspond with Malcolm Baker Miracle through the mailing address at 1401 MADISON AVE, COVINGTON, KY - 41011-3313 (mailing address contact number: 859-655-6100).

Location: 7607 Dixie Hwy, Florence, KY, 41011-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124184056
Provider Name
Malcolm Baker Miracle
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
7607 Dixie Hwy, Florence, KY, 41011-3313
Phone Number
859-655-6100
Fax Number
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
62610 01 KY DELTA DENTAL
E973 01 KY ANTHEM BCBS
60062619 05 KY
institution
Provider Business Practice Location Address Details
Address
7607 Dixie Hwy
City
Florence
State
Kentucky
Zip
41042-2644
Phone Number
859-655-6100
Fax Number
person
Provider Business Mailing Address Details
Address
7607 Dixie Hwy
City
Florence
State
Kentucky
Zip
41042-2644
Phone Number
859-655-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6261 (Kentucky)
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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