Miracle, Robert

Miracle, Robert is an individual health care provider with primary practice located at 1810 Nw Ferris Ave , Lawton OK 73507-5625. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Miracle, Robert can be contacted via phone (580) 355-1314.

Contact Information

Primary practice address
1810 Nw Ferris Ave Lawton OK 73507-5625
Fax: (580) 355-1027
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5347 Oklahoma

Profile Details

NPI number 1518955111
LBN Legal business name Miracle, Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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