Mark Miedema, DDS is a
Dentist - General Practice based in Togus, Maine. Mark Miedema is licensed to practice in Maine (license number 3535) and his current practice location is
Togus Va Hospital, 1 Va Center, Togus, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 623-8411.
NPI number for Mark Miedema is 1700994571 and his current mailing address is 37 Northwood Rd, West Bath, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700994571.
Healthcare Provider's Profile
Full Name | Mark Miedema |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | Togus Va Hospital, Togus, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700994571
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mark Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700994571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3535 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Miedema is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mark Miedema, DDS 37 Northwood Rd, West Bath, ME 04530-6625 Ph: (207) 442-9706 | Mark Miedema, DDS Togus Va Hospital, 1 Va Center, Togus, ME 04330 Ph: (207) 623-8411 |
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