Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
PHILIP JAMES MIRISE DDS
Gender: MALE
NPI: 1245319151
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Last Updated: | 2007-07-08 | ||
Certification Date: |
Details
Name | Value | ||||||||
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NPI | 1245319151 | ||||||||
Enumeration Date | 2006-11-02 | ||||||||
NPI Type | 1 - Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address |
850 CEDAR LANE
FRANKLIN, IN 46131-1089 United States Phone: 317-736-7476 | Fax: 317-736-1946 View Map ![]() |
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Primary Practice Address |
850 CEDAR LANE
FRANKLIN, IN 46131-1089 United States Phone: 317-736-7476 | Fax: 317-736-1946 View Map ![]() |
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