Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124184056 Individual Practitioner Male Practitioner

Dr. Malcolm Baker Miracle , DMD

Dentist - General Practice • Florence, KY

Professional Overview & Biography Verified Profile Summary

Dr. Malcolm Miracle, DMD is a registered healthcare professional specializing in Dentist - General Practice in Florence, KY. Practice services are available at 7607 DIXIE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7607 Dixie Hwy

Florence, KY 410422644

Telephone 8596556100
Associated Practice Facility / Clinic
🏢 Healthpoint Family Care, Inc. Facility NPI 1104128487

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Florence, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
35 Specialists

Practicing in Florence, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-05-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 6261

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
60062619 (KY)
Commercial Insurance / Payer ID Delta Dental
62610 (KY)
Commercial Insurance / Payer ID Anthem Bcbs
E973 (KY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003264888

Doctor of Dental Medicine

Dr. Adam Wooten , DO

Psychiatry & Neurology - Psychiatry

NPI 1023292364

Doctor of Osteopathic Medicine (D.O.)

Kyla Riddell , APRN

Nurse Practitioner - Family

NPI 1043090400

Advanced Practice Registered Nurse

NPI 1053392803

Doctor of Medicine (M.D.)

De Andre Evans

Dentist - General Practice

NPI 1063372365
Dr. Jinhui Li , DDS, PhD

Dentist - General Practice

NPI 1073242756

Doctor of Dental Surgery, Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 04, 2020

Registered at 7607 DIXIE HWY, FLORENCE, KY 410422644 (Tel: 8596556100)

NPI Profile Active March 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2017

Registered at 1401 HARRODSBURG RD, SUITE A-500, LEXINGTON, KY 405043751 (Tel: 8598814288)

📍
Updated Business Mailing Address March 30, 2017

Registered at 1401 MADISON AVE, COVINGTON, KY 410113313 (Tel: 8596556100)

👤
Provider Name / Credentials Updated March 30, 2017

Recorded as MALCOLM MIRACLE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2017

Dentist (License #6261 in KY)

NPI Profile Active October 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2016

Registered at 2501 CHRISMAN MILL RD, NICHOLASVILLE, KY 40356 (Tel: 8593386875)

📍
Updated Business Mailing Address October 09, 2016

Registered at 2501 CHRISMAN MILL RD, NICHOLASVILLE, KY 40356 (Tel: 8593386875)

👤
Provider Name / Credentials Updated October 09, 2016

Recorded as MALCOLM MIRACLE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2016

Dentist (License #6261 in KY)

🟢
Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124184056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2006
Last Update: May 04, 2020
Sole Proprietor: Yes

Mailing Address

1401 Madison Ave

Covington, KY 410113313

Phone: 8596556100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.