IndividualActive
Kenneth Miles, D.D.S.
NPI 1063563724 · General Practice Dentistry · Labelle, FL
Provider details
- NPI number
- 1063563724
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- HAD100 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1140 Pratt Blvd
Labelle, FL 33935-4405
Phone: (863) 674-4041
Approximate (ZIP-level) locationGet directions
Mailing address
443 Monaco Dr
Punta Gorda, FL 33950-7807
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.