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NPI Code Detail

MEDICARE: DR. KENNETH CHESTER MILES D.D.S.

MEDICARE: DR. KENNETH CHESTER MILES D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryHAD100FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063563724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH CHESTER MILES D.D.S.
Provider Business Mailing Address
First Line : 443 MONACO DR
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-7807
Country : US
Telephone Number : 586-484-2014
Fax Number :
Provider Business Practice Location Address
First Line : 1140 PRATT BLVD
Second Line :
City : LABELLE
State : FL
Zip : 33935-4405
Country : US
Telephone Number : 863-674-4041
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2007
Last Update Date : 01/03/2025

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