Individual
DR. MALCOLM BAKER MIRACLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
7607 DIXIE HWY, FLORENCE, KY 41042-2644
(859) 655-6100
Mailing address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6100
(859) 655-6148
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60062619
—
KY
01
—
62610
DELTA DENTAL
KY
01
—
E973
ANTHEM BCBS
KY
Enumeration date
12/28/2006
Last updated
05/04/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us