Individual
DAVID WAYNE MIOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2648 APD 40, CLEVELAND, TN 37323
(423) 472-0709
(423) 472-0788
Mailing address
2648 APD 40, CLEVELAND, TN 37323
(423) 472-0709
(423) 472-0788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8253
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1789566
UNITED CONCORDIA
—
01
—
4098134
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/28/2007
Last updated
07/08/2007
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