Provider Demographics
NPI:1518116615
Name:CONE, MILES REED (DMD)
Entity Type:Individual
Prefix:DR
First Name:MILES
Middle Name:REED
Last Name:CONE
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 1:127 SPRUCE POINT RD
Mailing Address - Street 2:NUANCE DENTAL CARE
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-5337
Mailing Address - Country:US
Mailing Address - Phone:207-536-7509
Mailing Address - Fax:
Practice Address - Street 1:193 MIDDLE ST
Practice Address - Street 2:NUANCE DENTAL SPECIALISTS
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4076
Practice Address - Country:US
Practice Address - Phone:207-536-7509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-12
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019927122300000X
NY0560261223P0700X
ME44151223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist