Provider Demographics
NPI:1497840714
Name:MIESEL, JANET MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:MARIE
Last Name:MIESEL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E GEORGE HOPPER RD STE 215
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-3125
Mailing Address - Country:US
Mailing Address - Phone:360-757-7667
Mailing Address - Fax:360-707-2114
Practice Address - Street 1:120 E GEORGE HOPPER RD STE 215
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-3125
Practice Address - Country:US
Practice Address - Phone:360-757-7667
Practice Address - Fax:360-707-2114
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA88881223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics