Provider Demographics
NPI:1467581710
Name:NEMET, MIROSZLAV (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIROSZLAV
Middle Name:
Last Name:NEMET
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5203 ALLENTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:PA
Mailing Address - Zip Code:19560-1213
Mailing Address - Country:US
Mailing Address - Phone:610-929-4252
Mailing Address - Fax:
Practice Address - Street 1:5203 ALLENTOWN PIKE
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:PA
Practice Address - Zip Code:19560-1213
Practice Address - Country:US
Practice Address - Phone:610-929-4252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035102122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist