Active NPIIndividual provider

Mark Miedema, DDS

Dentist, General Practice in Togus, Maine

NPI Number1700994571
Practice location
Togus VA Hospital, 1 VA Center, Togus, ME 04330
Fax
—
Last updated
July 8, 2007

Mark Miedema is a Dentist, General Practice based in Togus, ME. Mark Miedema practices in Togus, ME and has the professional credentials of DDS. The NPI Number for Mark Miedema is 1700994571 and holds a License No. 3535 (ME). The current practice location address for Mark Miedema is Togus VA Hospital, 1 VA Center, Togus, ME 04330 and can be reached out via phone at 207-623-8411.

Provider Profile Details

NPI Number
1700994571
Provider Name
Mark Miedema
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
Togus VA Hospital, 1 VA Center, Togus, ME 04330
Phone Number
207-623-8411
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Togus VA Hospital
1 VA Center
Togus, ME 04330
City
Togus
State
Maine
Zip
04330
Phone Number
207-623-8411
Togus, ME 04330Get directions →

Provider Business Mailing Address Details

Address
37 Northwood RD
West Bath, ME 04530-6625
City
West Bath
State
ME
Zip
04530-6625
Phone Number
207-442-9706

License Information

License Number
3535
License State
ME
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark Miedema, DDS?

The NPI number of Mark Miedema, DDS is 1700994571. It was assigned on August 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark Miedema, DDS?

Mark Miedema, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in ME under license number 3535.

Where does Mark Miedema, DDS practice?

The practice location is Togus VA Hospital, 1 VA Center, Togus, ME 04330. The office can be reached at 207-623-8411 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700994571 directly on the NPPES registry website.

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