Active NPIIndividual provider

Jennifer L Miedema, DMD

Dentist in Augusta, Maine

NPI Number1982124368
Practice location
1 VA Ctr, Augusta, ME 04330-6719
Fax
—
Last updated
June 26, 2017

Jennifer Lynn Miedema is a Dentist based in Augusta, ME. Jennifer Lynn Miedema practices in Augusta, ME and has the professional credentials of DMD. The NPI Number for Jennifer Lynn Miedema is 1982124368 and holds a License No. 4576 (ME). The current practice location address for Jennifer Lynn Miedema is 1 VA Ctr, Augusta, ME 04330-6719 and can be reached out via phone at 207-623-8411.

Provider Profile Details

NPI Number
1982124368
Provider Name
Jennifer Lynn Miedema
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1 VA Ctr, Augusta, ME 04330-6719
Phone Number
207-623-8411
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2017
Last Update Date
June 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 VA Ctr
Augusta, ME 04330-6719
State
Maine
Zip
04330-6719
Phone Number
207-623-8411
Augusta, 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
207-751-8577

License Information

License Number
4576
License State
ME
Taxonomy
Dentist · 122300000X · 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 Jennifer L Miedema, DMD?

The NPI number of Jennifer L Miedema, DMD is 1982124368. It was assigned on June 26, 2017 and is currently active in the NPPES registry.

What is the specialty of Jennifer L Miedema, DMD?

Jennifer L Miedema, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in ME under license number 4576.

Where does Jennifer L Miedema, DMD practice?

The practice location is 1 VA Ctr, Augusta, ME 04330-6719. 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 1982124368 directly on the NPPES registry website.

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