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NPI 1538541693

IndividualActive

Amanda Miles, DHAT

NPI 1538541693 · Dental Therapist · Kodiak, AK

Provider details

NPI number: 1538541693
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: DHAT
Sex: Female
Sole proprietor: No
License: 247200000X (AK)

Practice location

3449 E. Rezanof Drive

Dental Department

Kodiak, AK 99615-3449

Phone: (907) 486-9850

More AK providers

Mailing address

3449 E. Rezanof Drive

Kodiak, AK 99615-3449

Registry dates

Enumerated: 2015-06-25
Last updated: 2015-06-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Amanda Miles, DHAT — NPI 1538541693, Kodiak, AK | NPI Central