Provider Demographics
NPI:1558985606
Name:MIELE, LAUREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:MIELE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7736 MADISON BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3658
Mailing Address - Country:US
Mailing Address - Phone:256-289-8440
Mailing Address - Fax:256-257-9808
Practice Address - Street 1:7736 MADISON BLVD STE 2
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-3658
Practice Address - Country:US
Practice Address - Phone:256-289-8440
Practice Address - Fax:256-257-9808
Is Sole Proprietor?:No
Enumeration Date:2020-06-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALD.0006766-C11223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics