Jennifer Lynn Miedema, DMD
Dentist in Augusta, ME. Individual provider (NPI-1).
NPI number1982124368
StatusActive
Last updated in NPPESJun 26, 2017
Details
- NPI
- 1982124368
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynn Miedema
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2017
- Last updated
- Jun 26, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 4576 | ME | Yes |
Practice location
1 Va CtrAugusta, ME 04330-6719
Phone 207-623-8411
Mailing address
37 Northwood RdWest Bath, ME 04530-6625
Phone 207-751-8577
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All 24 Dentist providers in Augusta · All 2,040 providers in Augusta
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